{
  "schemaVersion": 3,
  "entityId": "260141",
  "canonicalName": "UNIVERSITY OF MISSOURI HEALTH CARE",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "UNIVERSITY OF MISSOURI HEALTH CARE 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": "260141",
    "npi": "1699769901",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "CURATORS OF THE UNIVERSITY OF MISSOURI",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "UNIVERSITY OF MISSOURI HEALTH CARE",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-260141",
      "from_entity_id": "reported owner",
      "to_entity_id": "260141",
      "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": "260141-net_patient_revenue-06-30-2024",
      "entity_id": "260141",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "1568459968",
      "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": "260141-net_patient_revenue-06-30-2023",
      "entity_id": "260141",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "1355192631",
      "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": "260141-net_patient_revenue-06-30-2022",
      "entity_id": "260141",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "4732350283",
      "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": "260141-operating_expense-06-30-2024",
      "entity_id": "260141",
      "metric_name": "operating_expense",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "1603582003",
      "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": "260141-operating_expense-06-30-2023",
      "entity_id": "260141",
      "metric_name": "operating_expense",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "1382275784",
      "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": "260141-operating_expense-06-30-2022",
      "entity_id": "260141",
      "metric_name": "operating_expense",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "1281250353",
      "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": "260141-net_income-06-30-2024",
      "entity_id": "260141",
      "metric_name": "net_income",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "5181033",
      "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": "260141-net_income-06-30-2023",
      "entity_id": "260141",
      "metric_name": "net_income",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "202772564",
      "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": "260141-net_income-06-30-2022",
      "entity_id": "260141",
      "metric_name": "net_income",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "3660445891",
      "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": "260141-total_assets-06-30-2024",
      "entity_id": "260141",
      "metric_name": "total_assets",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "1883894023",
      "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": "260141-total_assets-06-30-2023",
      "entity_id": "260141",
      "metric_name": "total_assets",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "1701651474",
      "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": "260141-total_assets-06-30-2022",
      "entity_id": "260141",
      "metric_name": "total_assets",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "1510668212",
      "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": "260141-total_liabilities-06-30-2024",
      "entity_id": "260141",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "764004531",
      "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": "260141-total_liabilities-06-30-2023",
      "entity_id": "260141",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "689630225",
      "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": "260141-total_liabilities-06-30-2022",
      "entity_id": "260141",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "517182507",
      "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": "260141-contract_labor_direct_patient_care-06-30-2024",
      "entity_id": "260141",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "60476670",
      "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": "260141-contract_labor_direct_patient_care-06-30-2023",
      "entity_id": "260141",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "64738148",
      "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": "260141-contract_labor_direct_patient_care-06-30-2022",
      "entity_id": "260141",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "41512339",
      "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": "260141-fte_employees-06-30-2024",
      "entity_id": "260141",
      "metric_name": "fte_employees",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "6855.3",
      "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": "260141-fte_employees-06-30-2023",
      "entity_id": "260141",
      "metric_name": "fte_employees",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "5629.08",
      "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": "260141-fte_employees-06-30-2022",
      "entity_id": "260141",
      "metric_name": "fte_employees",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "5482.07",
      "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": "260141-beds-06-30-2024",
      "entity_id": "260141",
      "metric_name": "beds",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "665",
      "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": "260141-beds-06-30-2023",
      "entity_id": "260141",
      "metric_name": "beds",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "521",
      "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": "260141-beds-06-30-2022",
      "entity_id": "260141",
      "metric_name": "beds",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "536",
      "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": "260141-patient_days-06-30-2024",
      "entity_id": "260141",
      "metric_name": "patient_days",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "162247",
      "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": "260141-patient_days-06-30-2023",
      "entity_id": "260141",
      "metric_name": "patient_days",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "145139",
      "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": "260141-patient_days-06-30-2022",
      "entity_id": "260141",
      "metric_name": "patient_days",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "144830",
      "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": "260141-discharges-06-30-2024",
      "entity_id": "260141",
      "metric_name": "discharges",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "29913",
      "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": "260141-discharges-06-30-2023",
      "entity_id": "260141",
      "metric_name": "discharges",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "26527",
      "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": "260141-discharges-06-30-2022",
      "entity_id": "260141",
      "metric_name": "discharges",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "25444",
      "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": "FREDERIC RANSOM",
      "role": "CORPORATE OFFICER",
      "association_date": "05/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "FREDERIC RANSOM",
      "role": "OTHER",
      "association_date": "05/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GEORGE DAMRON",
      "role": "CORPORATE OFFICER",
      "association_date": "06/19/2024",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "NATALIE FITZSIMMONS",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "08/16/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CURATORS OF THE UNIVERSITY OF MISSOURI",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "07/01/1966",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MUN CHOI",
      "role": "OTHER",
      "association_date": "03/01/2017",
      "percentage_ownership": "100",
      "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:260141",
        "label": "UNIVERSITY OF MISSOURI HEALTH CARE",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:curators-of-the-university-of-missouri",
        "label": "CURATORS OF THE UNIVERSITY OF MISSOURI",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:frederic-ransom:0",
        "label": "FREDERIC RANSOM",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:frederic-ransom:1",
        "label": "FREDERIC RANSOM",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:george-damron:2",
        "label": "GEORGE DAMRON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:natalie-fitzsimmons:3",
        "label": "NATALIE FITZSIMMONS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:curators-of-the-university-of-missouri:4",
        "label": "CURATORS OF THE UNIVERSITY OF MISSOURI",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:mun-choi:5",
        "label": "MUN CHOI",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      }
    ],
    "edges": [
      {
        "id": "organization:curators-of-the-university-of-missouri->facility:260141",
        "from": "organization:curators-of-the-university-of-missouri",
        "to": "facility:260141",
        "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:frederic-ransom:0->facility:260141",
        "from": "cms-owner:frederic-ransom:0",
        "to": "facility:260141",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 100% reported ownership · associated 05/01/2023"
      },
      {
        "id": "cms-owner:frederic-ransom:1->facility:260141",
        "from": "cms-owner:frederic-ransom:1",
        "to": "facility:260141",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · 100% reported ownership · associated 05/01/2023"
      },
      {
        "id": "cms-owner:george-damron:2->facility:260141",
        "from": "cms-owner:george-damron:2",
        "to": "facility:260141",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 100% reported ownership · associated 06/19/2024"
      },
      {
        "id": "cms-owner:natalie-fitzsimmons:3->facility:260141",
        "from": "cms-owner:natalie-fitzsimmons:3",
        "to": "facility:260141",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 08/16/2022"
      },
      {
        "id": "cms-owner:curators-of-the-university-of-missouri:4->facility:260141",
        "from": "cms-owner:curators-of-the-university-of-missouri:4",
        "to": "facility:260141",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/01/1966"
      },
      {
        "id": "cms-owner:mun-choi:5->facility:260141",
        "from": "cms-owner:mun-choi:5",
        "to": "facility:260141",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · 100% reported ownership · associated 03/01/2017"
      }
    ],
    "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": 4732350283,
      "latestValue": 1568459968,
      "absoluteChange": -3163890315,
      "percentChange": -66.85663836773935,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1281250353,
      "latestValue": 1603582003,
      "absoluteChange": 322331650,
      "percentChange": 25.157585263900412,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 3660445891,
      "latestValue": 5181033,
      "absoluteChange": -3655264858,
      "percentChange": -99.8584589649928,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1510668212,
      "latestValue": 1883894023,
      "absoluteChange": 373225811,
      "percentChange": 24.70600811185931,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 517182507,
      "latestValue": 764004531,
      "absoluteChange": 246822024,
      "percentChange": 47.724356616725245,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 41512339,
      "latestValue": 60476670,
      "absoluteChange": 18964331,
      "percentChange": 45.68360024232795,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 5482.07,
      "latestValue": 6855.3,
      "absoluteChange": 1373.2300000000005,
      "percentChange": 25.04947948493909,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 536,
      "latestValue": 665,
      "absoluteChange": 129,
      "percentChange": 24.067164179104477,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 144830,
      "latestValue": 162247,
      "absoluteChange": 17417,
      "percentChange": 12.025823379134156,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 25444,
      "latestValue": 29913,
      "absoluteChange": 4469,
      "percentChange": 17.564062254362522,
      "unit": "discharges"
    }
  ]
}