{
  "schemaVersion": 3,
  "entityId": "241353",
  "canonicalName": "CUYUNA REGIONAL MEDICAL CENTER",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "CUYUNA REGIONAL MEDICAL CENTER 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": "241353",
    "npi": "1538143896",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "CUYUNA REGIONAL MEDICAL CENTER",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-241353",
      "from_entity_id": "reported owner",
      "to_entity_id": "241353",
      "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": "241353-net_patient_revenue-03-31-2024",
      "entity_id": "241353",
      "metric_name": "net_patient_revenue",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "183771726",
      "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": "241353-net_patient_revenue-03-31-2023",
      "entity_id": "241353",
      "metric_name": "net_patient_revenue",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "180828344",
      "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": "241353-net_patient_revenue-03-31-2022",
      "entity_id": "241353",
      "metric_name": "net_patient_revenue",
      "period_start": "04/01/2021",
      "period_end": "03/31/2022",
      "value": "156264188",
      "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": "241353-operating_expense-03-31-2024",
      "entity_id": "241353",
      "metric_name": "operating_expense",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "199709699",
      "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": "241353-operating_expense-03-31-2023",
      "entity_id": "241353",
      "metric_name": "operating_expense",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "188147576",
      "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": "241353-operating_expense-03-31-2022",
      "entity_id": "241353",
      "metric_name": "operating_expense",
      "period_start": "04/01/2021",
      "period_end": "03/31/2022",
      "value": "165403325",
      "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": "241353-net_income-03-31-2024",
      "entity_id": "241353",
      "metric_name": "net_income",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "-768672",
      "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": "241353-net_income-03-31-2023",
      "entity_id": "241353",
      "metric_name": "net_income",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "6256528",
      "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": "241353-net_income-03-31-2022",
      "entity_id": "241353",
      "metric_name": "net_income",
      "period_start": "04/01/2021",
      "period_end": "03/31/2022",
      "value": "8043651",
      "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": "241353-total_assets-03-31-2024",
      "entity_id": "241353",
      "metric_name": "total_assets",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "129722878",
      "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": "241353-total_assets-03-31-2023",
      "entity_id": "241353",
      "metric_name": "total_assets",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "129195262",
      "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": "241353-total_assets-03-31-2022",
      "entity_id": "241353",
      "metric_name": "total_assets",
      "period_start": "04/01/2021",
      "period_end": "03/31/2022",
      "value": "120924770",
      "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": "241353-total_liabilities-03-31-2024",
      "entity_id": "241353",
      "metric_name": "total_liabilities",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "82689594",
      "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": "241353-total_liabilities-03-31-2023",
      "entity_id": "241353",
      "metric_name": "total_liabilities",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "58490115",
      "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": "241353-total_liabilities-03-31-2022",
      "entity_id": "241353",
      "metric_name": "total_liabilities",
      "period_start": "04/01/2021",
      "period_end": "03/31/2022",
      "value": "56476152",
      "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": "241353-fte_employees-03-31-2024",
      "entity_id": "241353",
      "metric_name": "fte_employees",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "834",
      "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": "241353-fte_employees-03-31-2023",
      "entity_id": "241353",
      "metric_name": "fte_employees",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "795.33",
      "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": "241353-fte_employees-03-31-2022",
      "entity_id": "241353",
      "metric_name": "fte_employees",
      "period_start": "04/01/2021",
      "period_end": "03/31/2022",
      "value": "666.66",
      "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": "241353-beds-03-31-2024",
      "entity_id": "241353",
      "metric_name": "beds",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "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": "241353-beds-03-31-2023",
      "entity_id": "241353",
      "metric_name": "beds",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "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": "241353-beds-03-31-2022",
      "entity_id": "241353",
      "metric_name": "beds",
      "period_start": "04/01/2021",
      "period_end": "03/31/2022",
      "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": "241353-patient_days-03-31-2024",
      "entity_id": "241353",
      "metric_name": "patient_days",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "4667",
      "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": "241353-patient_days-03-31-2023",
      "entity_id": "241353",
      "metric_name": "patient_days",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "5237",
      "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": "241353-patient_days-03-31-2022",
      "entity_id": "241353",
      "metric_name": "patient_days",
      "period_start": "04/01/2021",
      "period_end": "03/31/2022",
      "value": "5610",
      "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": "241353-discharges-03-31-2024",
      "entity_id": "241353",
      "metric_name": "discharges",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "1541",
      "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": "241353-discharges-03-31-2023",
      "entity_id": "241353",
      "metric_name": "discharges",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "1443",
      "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": "241353-discharges-03-31-2022",
      "entity_id": "241353",
      "metric_name": "discharges",
      "period_start": "04/01/2021",
      "period_end": "03/31/2022",
      "value": "1525",
      "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": "PAIGE HOLMGREN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ANDREA BEDARD",
      "role": "CORPORATE DIRECTOR",
      "association_date": "08/01/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KENT FELTZ",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WADE LEONARD",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "VIRGINIA SAVOLOJA",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KATIE BERG",
      "role": "CORPORATE OFFICER",
      "association_date": "06/19/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KATIE BERG",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "06/19/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JAMIE SKJEVELAND",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSHUA HOROWITZ",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AMY HART",
      "role": "CORPORATE OFFICER",
      "association_date": "09/01/2021",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BART TAYLOR",
      "role": "CORPORATE DIRECTOR",
      "association_date": "08/01/2016",
      "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"
  ],
  "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:241353",
        "label": "CUYUNA REGIONAL MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:cuyuna-regional-medical-center",
        "label": "CUYUNA REGIONAL MEDICAL CENTER",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:paige-holmgren:0",
        "label": "PAIGE HOLMGREN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:andrea-bedard:1",
        "label": "ANDREA BEDARD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kent-feltz:2",
        "label": "KENT FELTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:wade-leonard:3",
        "label": "WADE LEONARD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:virginia-savoloja:4",
        "label": "VIRGINIA SAVOLOJA",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:katie-berg:5",
        "label": "KATIE BERG",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:katie-berg:6",
        "label": "KATIE BERG",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:jamie-skjeveland:7",
        "label": "JAMIE SKJEVELAND",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:joshua-horowitz:8",
        "label": "JOSHUA HOROWITZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:amy-hart:9",
        "label": "AMY HART",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:bart-taylor:10",
        "label": "BART TAYLOR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:cuyuna-regional-medical-center->facility:241353",
        "from": "organization:cuyuna-regional-medical-center",
        "to": "facility:241353",
        "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:paige-holmgren:0->facility:241353",
        "from": "cms-owner:paige-holmgren:0",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:andrea-bedard:1->facility:241353",
        "from": "cms-owner:andrea-bedard:1",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/01/2016"
      },
      {
        "id": "cms-owner:kent-feltz:2->facility:241353",
        "from": "cms-owner:kent-feltz:2",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:wade-leonard:3->facility:241353",
        "from": "cms-owner:wade-leonard:3",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:virginia-savoloja:4->facility:241353",
        "from": "cms-owner:virginia-savoloja:4",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:katie-berg:5->facility:241353",
        "from": "cms-owner:katie-berg:5",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/19/2017"
      },
      {
        "id": "cms-owner:katie-berg:6->facility:241353",
        "from": "cms-owner:katie-berg:6",
        "to": "facility:241353",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 06/19/2017"
      },
      {
        "id": "cms-owner:jamie-skjeveland:7->facility:241353",
        "from": "cms-owner:jamie-skjeveland:7",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:joshua-horowitz:8->facility:241353",
        "from": "cms-owner:joshua-horowitz:8",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:amy-hart:9->facility:241353",
        "from": "cms-owner:amy-hart:9",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 100% reported ownership · associated 09/01/2021"
      },
      {
        "id": "cms-owner:bart-taylor:10->facility:241353",
        "from": "cms-owner:bart-taylor:10",
        "to": "facility:241353",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/01/2016"
      }
    ],
    "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": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 156264188,
      "latestValue": 183771726,
      "absoluteChange": 27507538,
      "percentChange": 17.603225890758797,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 165403325,
      "latestValue": 199709699,
      "absoluteChange": 34306374,
      "percentChange": 20.741042539501546,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 8043651,
      "latestValue": -768672,
      "absoluteChange": -8812323,
      "percentChange": -109.55625747561648,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 120924770,
      "latestValue": 129722878,
      "absoluteChange": 8798108,
      "percentChange": 7.275687189646919,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 56476152,
      "latestValue": 82689594,
      "absoluteChange": 26213442,
      "percentChange": 46.41506383083607,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 666.66,
      "latestValue": 834,
      "absoluteChange": 167.34000000000003,
      "percentChange": 25.10125101251013,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 25,
      "latestValue": 25,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 5610,
      "latestValue": 4667,
      "absoluteChange": -943,
      "percentChange": -16.809269162210338,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 1525,
      "latestValue": 1541,
      "absoluteChange": 16,
      "percentChange": 1.0491803278688525,
      "unit": "discharges"
    }
  ]
}
