{
  "schemaVersion": 3,
  "entityId": "250025",
  "canonicalName": "NORTH MISSISSIPPI MEDICAL CENTER - GILMORE - AMORY",
  "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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    "npi": "1164993457",
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        "alias_type": "cms_legal_name",
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      {
        "alias": "NORTH MISSISSIPPI MEDICAL CENTER-GILMORE-AMORY",
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      }
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      "from_entity_id": "reported owner",
      "to_entity_id": "250025",
      "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."
    }
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  "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:250025",
        "label": "NORTH MISSISSIPPI MEDICAL CENTER - GILMORE - AMORY",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:north-mississippi-health-services-inc",
        "label": "NORTH MISSISSIPPI HEALTH SERVICES INC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:jamie-rodgers:0",
        "label": "JAMIE RODGERS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:shawn-helton:1",
        "label": "SHAWN HELTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:vern-christensen:2",
        "label": "VERN CHRISTENSEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:david-thomas:3",
        "label": "DAVID THOMAS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:david-corbett:4",
        "label": "DAVID CORBETT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bradley-blalock:5",
        "label": "BRADLEY BLALOCK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:william-scaggs:6",
        "label": "WILLIAM SCAGGS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:north-mississippi-health-services-inc:7",
        "label": "NORTH MISSISSIPPI HEALTH SERVICES INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:bruce-toppin:8",
        "label": "BRUCE TOPPIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:bruce-toppin:9",
        "label": "BRUCE TOPPIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:sharon-nobles:10",
        "label": "SHARON NOBLES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:sharon-nobles:11",
        "label": "SHARON NOBLES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:michael-spees:12",
        "label": "MICHAEL SPEES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:michael-spees:13",
        "label": "MICHAEL SPEES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:hozay-hausley:14",
        "label": "HOZAY HAUSLEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:north-mississippi-health-services-inc->facility:250025",
        "from": "organization:north-mississippi-health-services-inc",
        "to": "facility:250025",
        "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:jamie-rodgers:0->facility:250025",
        "from": "cms-owner:jamie-rodgers:0",
        "to": "facility:250025",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 0% reported ownership · associated 10/01/2021"
      },
      {
        "id": "cms-owner:shawn-helton:1->facility:250025",
        "from": "cms-owner:shawn-helton:1",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2021"
      },
      {
        "id": "cms-owner:vern-christensen:2->facility:250025",
        "from": "cms-owner:vern-christensen:2",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2021"
      },
      {
        "id": "cms-owner:david-thomas:3->facility:250025",
        "from": "cms-owner:david-thomas:3",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2021"
      },
      {
        "id": "cms-owner:david-corbett:4->facility:250025",
        "from": "cms-owner:david-corbett:4",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2021"
      },
      {
        "id": "cms-owner:bradley-blalock:5->facility:250025",
        "from": "cms-owner:bradley-blalock:5",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2021"
      },
      {
        "id": "cms-owner:william-scaggs:6->facility:250025",
        "from": "cms-owner:william-scaggs:6",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2021"
      },
      {
        "id": "cms-owner:north-mississippi-health-services-inc:7->facility:250025",
        "from": "cms-owner:north-mississippi-health-services-inc:7",
        "to": "facility:250025",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 01/01/2019"
      },
      {
        "id": "cms-owner:bruce-toppin:8->facility:250025",
        "from": "cms-owner:bruce-toppin:8",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 01/01/2019"
      },
      {
        "id": "cms-owner:bruce-toppin:9->facility:250025",
        "from": "cms-owner:bruce-toppin:9",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2019"
      },
      {
        "id": "cms-owner:sharon-nobles:10->facility:250025",
        "from": "cms-owner:sharon-nobles:10",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 01/01/2019"
      },
      {
        "id": "cms-owner:sharon-nobles:11->facility:250025",
        "from": "cms-owner:sharon-nobles:11",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2019"
      },
      {
        "id": "cms-owner:michael-spees:12->facility:250025",
        "from": "cms-owner:michael-spees:12",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 01/01/2019"
      },
      {
        "id": "cms-owner:michael-spees:13->facility:250025",
        "from": "cms-owner:michael-spees:13",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2019"
      },
      {
        "id": "cms-owner:hozay-hausley:14->facility:250025",
        "from": "cms-owner:hozay-hausley:14",
        "to": "facility:250025",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2021"
      }
    ],
    "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": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 42129091,
      "latestValue": 49668509,
      "absoluteChange": 7539418,
      "percentChange": 17.89599020781151,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 41470309,
      "latestValue": 44589789,
      "absoluteChange": 3119480,
      "percentChange": 7.52220100409669,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 4046281,
      "latestValue": 5720978,
      "absoluteChange": 1674697,
      "percentChange": 41.38854913932077,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 21856007,
      "latestValue": 22460440,
      "absoluteChange": 604433,
      "percentChange": 2.765523455405189,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 11884424,
      "latestValue": 156640,
      "absoluteChange": -11727784,
      "percentChange": -98.68197230257016,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 209504,
      "latestValue": 799012,
      "absoluteChange": 589508,
      "percentChange": 281.38269436383075,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 282.16,
      "latestValue": 293.7,
      "absoluteChange": 11.539999999999964,
      "percentChange": 4.089878083356948,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 94,
      "latestValue": 95,
      "absoluteChange": 1,
      "percentChange": 1.0638297872340425,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 11153,
      "latestValue": 10080,
      "absoluteChange": -1073,
      "percentChange": -9.620729848471262,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 2130,
      "latestValue": 2044,
      "absoluteChange": -86,
      "percentChange": -4.037558685446009,
      "unit": "discharges"
    }
  ]
}
