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  "status": "signal",
  "statusLabel": "Documented investment signal",
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  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
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      "status": "signal",
      "confidence": "medium",
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      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
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      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM REGINE",
      "role": "CORPORATE OFFICER",
      "association_date": "03/19/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM REGINE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "03/19/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RONALD CUMMINS",
      "role": "CORPORATE OFFICER",
      "association_date": "10/20/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RONALD CUMMINS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/20/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARILYN CARP",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSEPH DEMATTOS",
      "role": "CORPORATE OFFICER",
      "association_date": "07/04/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSEPH DEMATTOS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/04/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KENNETH MORELAND",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HARRIETT COOPERMAN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DEBORAH ZIMMERMANN",
      "role": "CORPORATE OFFICER",
      "association_date": "03/19/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DEBORAH ZIMMERMANN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "03/19/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEVEN MARGOLIS",
      "role": "CORPORATE OFFICER",
      "association_date": "05/20/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEVEN MARGOLIS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/20/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CAROL COUGHLIN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ANCELMO LOPES",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LISA MANZONE",
      "role": "CORPORATE OFFICER",
      "association_date": "03/19/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LISA MANZONE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "03/19/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSEPH CARRIER",
      "role": "CORPORATE OFFICER",
      "association_date": "05/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSEPH CARRIER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JILL RACHBEISEL",
      "role": "CORPORATE OFFICER",
      "association_date": "07/16/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JILL RACHBEISEL",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/16/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "07/03/2014",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "PETER CRINO",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MOHAN SUNTHA",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARK JOSEPH",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM KIRWAN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RICHARD BUTLER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARY MCLAUGHLIN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date",
    "Official facility URL"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:210002",
        "label": "UNIVERSITY OF MARYLAND MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:university-of-maryland-medical-system-corporation",
        "label": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:barry-gossett:0",
        "label": "BARRY GOSSETT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bonnie-phipps:1",
        "label": "BONNIE PHIPPS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:bonnie-phipps:2",
        "label": "BONNIE PHIPPS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:robert-wallace:3",
        "label": "ROBERT WALLACE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bruce-jarrell:4",
        "label": "BRUCE JARRELL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:mark-gladwin:5",
        "label": "MARK GLADWIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:robert-stephenson:6",
        "label": "ROBERT STEPHENSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:robert-stephenson:7",
        "label": "ROBERT STEPHENSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bartholomew-o-malley:8",
        "label": "BARTHOLOMEW O'MALLEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:bartholomew-o-malley:9",
        "label": "BARTHOLOMEW O'MALLEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bartholomew-o-malley:10",
        "label": "BARTHOLOMEW O'MALLEY",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:bartholomew-o-malley:11",
        "label": "BARTHOLOMEW O'MALLEY",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:george-sprinkel:12",
        "label": "GEORGE SPRINKEL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:george-sprinkel:13",
        "label": "GEORGE SPRINKEL",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:david-ralph:14",
        "label": "DAVID RALPH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:david-ralph:15",
        "label": "DAVID RALPH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:university-of-maryland-medical-system-corporation->facility:210002",
        "from": "organization:university-of-maryland-medical-system-corporation",
        "to": "facility:210002",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:barry-gossett:0->facility:210002",
        "from": "cms-owner:barry-gossett:0",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/01/2024"
      },
      {
        "id": "cms-owner:bonnie-phipps:1->facility:210002",
        "from": "cms-owner:bonnie-phipps:1",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 03/19/2024"
      },
      {
        "id": "cms-owner:bonnie-phipps:2->facility:210002",
        "from": "cms-owner:bonnie-phipps:2",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/19/2024"
      },
      {
        "id": "cms-owner:robert-wallace:3->facility:210002",
        "from": "cms-owner:robert-wallace:3",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/01/2024"
      },
      {
        "id": "cms-owner:bruce-jarrell:4->facility:210002",
        "from": "cms-owner:bruce-jarrell:4",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/01/2024"
      },
      {
        "id": "cms-owner:mark-gladwin:5->facility:210002",
        "from": "cms-owner:mark-gladwin:5",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/01/2024"
      },
      {
        "id": "cms-owner:robert-stephenson:6->facility:210002",
        "from": "cms-owner:robert-stephenson:6",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/16/2024"
      },
      {
        "id": "cms-owner:robert-stephenson:7->facility:210002",
        "from": "cms-owner:robert-stephenson:7",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/16/2024"
      },
      {
        "id": "cms-owner:bartholomew-o-malley:8->facility:210002",
        "from": "cms-owner:bartholomew-o-malley:8",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 02/01/2024"
      },
      {
        "id": "cms-owner:bartholomew-o-malley:9->facility:210002",
        "from": "cms-owner:bartholomew-o-malley:9",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/01/2024"
      },
      {
        "id": "cms-owner:bartholomew-o-malley:10->facility:210002",
        "from": "cms-owner:bartholomew-o-malley:10",
        "to": "facility:210002",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 02/01/2024"
      },
      {
        "id": "cms-owner:bartholomew-o-malley:11->facility:210002",
        "from": "cms-owner:bartholomew-o-malley:11",
        "to": "facility:210002",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 02/01/2024"
      },
      {
        "id": "cms-owner:george-sprinkel:12->facility:210002",
        "from": "cms-owner:george-sprinkel:12",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 02/01/2024"
      },
      {
        "id": "cms-owner:george-sprinkel:13->facility:210002",
        "from": "cms-owner:george-sprinkel:13",
        "to": "facility:210002",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 02/01/2024"
      },
      {
        "id": "cms-owner:david-ralph:14->facility:210002",
        "from": "cms-owner:david-ralph:14",
        "to": "facility:210002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
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        "note": "CORPORATE OFFICER · associated 07/16/2024"
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        "sourceIds": [
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        "note": "CORPORATE DIRECTOR · associated 07/16/2024"
      }
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    "caveats": [
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    ]
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