{ "schemaVersion": 3, "entityId": "241343", "canonicalName": "AVERA GRANITE FALLS", "status": "signal", "statusLabel": "Documented investment signal", "summary": "AVERA GRANITE FALLS appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.", "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" }, "identifiers": { "ccn": "241343", "npi": "1700429610", "historicalCcns": [], "aliases": [ { "alias": "AVERA GRANITE FALLS", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "AVERA GRANITE FALLS HEALTH CENTER", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-reportedowner-241343", "from_entity_id": "reported owner", "to_entity_id": "241343", "relationship_type": "venture_backing", "effective_date": "", "end_date": "", "announcement_date": "", "status": "signal", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker", "plain_english_summary": "undefined is reported as an investment backer; this is not treated as a completed ownership claim.", "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker." } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [ { "metric_id": "241343-net_patient_revenue-06-30-2024", "entity_id": "241343", "metric_name": "net_patient_revenue", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "28862354", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-net_patient_revenue-06-30-2023", "entity_id": "241343", "metric_name": "net_patient_revenue", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "28505963", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-net_patient_revenue-06-30-2022", "entity_id": "241343", "metric_name": "net_patient_revenue", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "26989819", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-operating_expense-06-30-2024", "entity_id": "241343", "metric_name": "operating_expense", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "28266387", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-operating_expense-06-30-2023", "entity_id": "241343", "metric_name": "operating_expense", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "28486970", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-operating_expense-06-30-2022", "entity_id": "241343", "metric_name": "operating_expense", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "28318355", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-net_income-06-30-2024", "entity_id": "241343", "metric_name": "net_income", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "3367932", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-net_income-06-30-2023", "entity_id": "241343", "metric_name": "net_income", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "1496300", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-net_income-06-30-2022", "entity_id": "241343", "metric_name": "net_income", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "-331352", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-total_assets-06-30-2024", "entity_id": "241343", "metric_name": "total_assets", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "31438419", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-total_assets-06-30-2023", "entity_id": "241343", "metric_name": "total_assets", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "27715958", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-total_assets-06-30-2022", "entity_id": "241343", "metric_name": "total_assets", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "26933854", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-total_liabilities-06-30-2024", "entity_id": "241343", "metric_name": "total_liabilities", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "11616195", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-total_liabilities-06-30-2023", "entity_id": "241343", "metric_name": "total_liabilities", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "11613764", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-total_liabilities-06-30-2022", "entity_id": "241343", "metric_name": "total_liabilities", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "12629985", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-fte_employees-06-30-2024", "entity_id": "241343", "metric_name": "fte_employees", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "107.72", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-fte_employees-06-30-2023", "entity_id": "241343", "metric_name": "fte_employees", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "106.34", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-fte_employees-06-30-2022", "entity_id": "241343", "metric_name": "fte_employees", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "110.94", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-beds-06-30-2024", "entity_id": "241343", "metric_name": "beds", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "25", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-beds-06-30-2023", "entity_id": "241343", "metric_name": "beds", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "25", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-beds-06-30-2022", "entity_id": "241343", "metric_name": "beds", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "25", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-patient_days-06-30-2024", "entity_id": "241343", "metric_name": "patient_days", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "738", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-patient_days-06-30-2023", "entity_id": "241343", "metric_name": "patient_days", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "706", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-patient_days-06-30-2022", "entity_id": "241343", "metric_name": "patient_days", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "953", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-discharges-06-30-2024", "entity_id": "241343", "metric_name": "discharges", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "129", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-discharges-06-30-2023", "entity_id": "241343", "metric_name": "discharges", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "154", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "241343-discharges-06-30-2022", "entity_id": "241343", "metric_name": "discharges", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "168", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" } ], "cmsOwnerRecords": [ { "organization": "JAMES DOVER", "role": "CORPORATE OFFICER", "association_date": "10/23/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LISA STREICH", "role": "CORPORATE DIRECTOR", "association_date": "10/01/2024", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DANIEL BARBER", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2024", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LUCILLE WELBIG", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DEBRA STREIER", "role": "CORPORATE OFFICER", "association_date": "02/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LAVONNE KOENEN", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "THOMAS KOOIMAN", "role": "CORPORATE OFFICER", "association_date": "05/29/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "THOMAS KOOIMAN", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "05/29/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "AVERA MARSHALL", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "01/01/2020", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "AVERA MARSHALL", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "01/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CHRISTY COUDRON", "role": "CORPORATE OFFICER", "association_date": "02/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROSA RIOS AVENDANO", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JULIE LAUTT", "role": "CORPORATE OFFICER", "association_date": "03/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "AVERA HEALTH", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "01/01/2020", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARK JENSEN", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2023", "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:241343", "label": "AVERA GRANITE FALLS", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:avera-marshall", "label": "AVERA MARSHALL", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:james-dover:0", "label": "JAMES DOVER", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:lisa-streich:1", "label": "LISA STREICH", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:daniel-barber:2", "label": "DANIEL BARBER", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:lucille-welbig:3", "label": "LUCILLE WELBIG", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:debra-streier:4", "label": "DEBRA STREIER", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:lavonne-koenen:5", "label": "LAVONNE KOENEN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:thomas-kooiman:6", "label": "THOMAS KOOIMAN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:thomas-kooiman:7", "label": "THOMAS KOOIMAN", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:avera-marshall:8", "label": "AVERA MARSHALL", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:avera-marshall:9", "label": "AVERA MARSHALL", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:christy-coudron:10", "label": "CHRISTY COUDRON", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:rosa-rios-avendano:11", "label": "ROSA RIOS AVENDANO", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:julie-lautt:12", "label": "JULIE LAUTT", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:avera-health:13", "label": "AVERA HEALTH", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:mark-jensen:14", "label": "MARK JENSEN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" } ], "edges": [ { "id": "organization:avera-marshall->facility:241343", "from": "organization:avera-marshall", "to": "facility:241343", "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:james-dover:0->facility:241343", "from": "cms-owner:james-dover:0", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 10/23/2023" }, { "id": "cms-owner:lisa-streich:1->facility:241343", "from": "cms-owner:lisa-streich:1", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2024" }, { "id": "cms-owner:daniel-barber:2->facility:241343", "from": "cms-owner:daniel-barber:2", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/01/2024" }, { "id": "cms-owner:lucille-welbig:3->facility:241343", "from": "cms-owner:lucille-welbig:3", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2023" }, { "id": "cms-owner:debra-streier:4->facility:241343", "from": "cms-owner:debra-streier:4", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 02/01/2021" }, { "id": "cms-owner:lavonne-koenen:5->facility:241343", "from": "cms-owner:lavonne-koenen:5", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2020" }, { "id": "cms-owner:thomas-kooiman:6->facility:241343", "from": "cms-owner:thomas-kooiman:6", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 05/29/2022" }, { "id": "cms-owner:thomas-kooiman:7->facility:241343", "from": "cms-owner:thomas-kooiman:7", "to": "facility:241343", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 05/29/2022" }, { "id": "cms-owner:avera-marshall:8->facility:241343", "from": "cms-owner:avera-marshall:8", "to": "facility:241343", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 01/01/2020" }, { "id": "cms-owner:avera-marshall:9->facility:241343", "from": "cms-owner:avera-marshall:9", "to": "facility:241343", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 01/01/2020" }, { "id": "cms-owner:christy-coudron:10->facility:241343", "from": "cms-owner:christy-coudron:10", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 02/01/2021" }, { "id": "cms-owner:rosa-rios-avendano:11->facility:241343", "from": "cms-owner:rosa-rios-avendano:11", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2023" }, { "id": "cms-owner:julie-lautt:12->facility:241343", "from": "cms-owner:julie-lautt:12", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 03/01/2020" }, { "id": "cms-owner:avera-health:13->facility:241343", "from": "cms-owner:avera-health:13", "to": "facility:241343", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 01/01/2020" }, { "id": "cms-owner:mark-jensen:14->facility:241343", "from": "cms-owner:mark-jensen:14", "to": "facility:241343", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2023" } ], "caveats": [ "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor." ] }, "descriptiveTrends": [ { "metric": "net_patient_revenue", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 26989819, "latestValue": 28862354, "absoluteChange": 1872535, "percentChange": 6.937930928695743, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 28318355, "latestValue": 28266387, "absoluteChange": -51968, "percentChange": -0.18351348445204532, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": -331352, "latestValue": 3367932, "absoluteChange": 3699284, "percentChange": 1116.421207658321, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 26933854, "latestValue": 31438419, "absoluteChange": 4504565, "percentChange": 16.72454673586632, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 12629985, "latestValue": 11616195, "absoluteChange": -1013790, "percentChange": -8.026850388183359, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 110.94, "latestValue": 107.72, "absoluteChange": -3.219999999999999, "percentChange": -2.902469803497385, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 25, "latestValue": 25, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 953, "latestValue": 738, "absoluteChange": -215, "percentChange": -22.560335781741866, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 168, "latestValue": 129, "absoluteChange": -39, "percentChange": -23.214285714285715, "unit": "discharges" } ] }