{ "schemaVersion": 3, "entityId": "264033", "canonicalName": "PERIMETER BEHAVIORAL HOSPITAL OF SPRING", "status": "confirmed_pe", "statusLabel": "CMS-corroborated PE ownership record", "summary": "PERIMETER BEHAVIORAL HOSPITAL OF SPRING is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for SPRINGFIELD BEHAVIORAL HOSPITAL LLC. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.", "lastReviewed": "2026-06-22", "review": { "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate", "evidence_grade": "government-corroborated", "confidence": "high", "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": "264033", "npi": "1194211037", "historicalCcns": [], "aliases": [ { "alias": "SPRINGFIELD BEHAVIORAL HOSPITAL LLC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "PERIMETER BEHAVIORAL HOSPITAL OF SPRINGFIELD", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-perimeter-264033", "from_entity_id": "Perimeter Healthcare", "to_entity_id": "264033", "relationship_type": "owns", "effective_date": "October 2018", "end_date": "", "announcement_date": "", "status": "confirmed", "confidence": "high", "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker", "plain_english_summary": "The tracker identifies Perimeter Healthcare in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.", "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker." } ], "acquisitionEvents": [ { "date": "October 2018", "title": "Acquisition date reported", "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.", "sourceIds": [ "source-pesp-hospital-tracker" ] } ], "financialAndUtilizationSeries": [ { "metric_id": "264033-net_patient_revenue-12-31-2019", "entity_id": "264033", "metric_name": "net_patient_revenue", "period_start": "03/14/2019", "period_end": "12/31/2019", "value": "2985942", "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": "264033-operating_expense-12-31-2019", "entity_id": "264033", "metric_name": "operating_expense", "period_start": "03/14/2019", "period_end": "12/31/2019", "value": "8248877", "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": "264033-net_income-12-31-2019", "entity_id": "264033", "metric_name": "net_income", "period_start": "03/14/2019", "period_end": "12/31/2019", "value": "-5243455", "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": "264033-total_assets-12-31-2019", "entity_id": "264033", "metric_name": "total_assets", "period_start": "03/14/2019", "period_end": "12/31/2019", "value": "1088700", "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": "264033-total_liabilities-12-31-2019", "entity_id": "264033", "metric_name": "total_liabilities", "period_start": "03/14/2019", "period_end": "12/31/2019", "value": "7051874", "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": "264033-fte_employees-12-31-2019", "entity_id": "264033", "metric_name": "fte_employees", "period_start": "03/14/2019", "period_end": "12/31/2019", "value": "65.61", "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": "264033-beds-12-31-2019", "entity_id": "264033", "metric_name": "beds", "period_start": "03/14/2019", "period_end": "12/31/2019", "value": "32", "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": "264033-patient_days-12-31-2019", "entity_id": "264033", "metric_name": "patient_days", "period_start": "03/14/2019", "period_end": "12/31/2019", "value": "3914", "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": "264033-discharges-12-31-2019", "entity_id": "264033", "metric_name": "discharges", "period_start": "03/14/2019", "period_end": "12/31/2019", "value": "555", "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": "ORCHARD HOLDINGS III LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "9.4", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ORCHARD HOLDINGS LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "33.8", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MITCHELL FAMILY IRREVOCABLE TRUST U/A DATED DECEMBER 28, 2012", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "33.4", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MITCHELL FAMILY III IRREVOCABLE GST TRUST", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "9.3", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "GEORGE DUNAWAY", "role": "CORPORATE OFFICER", "association_date": "10/26/2018", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROCHELLE GERBER", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "10/26/2018", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HOLDCO PERIMETER LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/22/2025", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "REP WR HOLDINGS LLC", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "05/20/2019", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MITCHELL FAMILY II IRREVOCABLE TRUST U/A DATED OCTOBER 26, 2016", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "18.6", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAMES LAUGHLIN", "role": "CORPORATE OFFICER", "association_date": "10/26/2018", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "PERIMETER ACQUISITION HOLDCO LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CRYSTAL HANSON", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "01/23/2026", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MFO PERIMETER LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "89.3", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ORCHARD HOLDINGS II LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "18.8", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARK T MITCHELL LIVING TRUST", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "28", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "PERIMETER ORCHARDS LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/11/2025", "percentage_ownership": "62.5", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false } ], "directConnections": [ "Reported parent system or portfolio company: Perimeter Healthcare.", "Reported investment sponsor: Ridgemont Equity Partners." ], "actions": [], "contradictions": [], "limitations": [], "unavailableFields": [ "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": "high", "nodes": [ { "id": "facility:264033", "label": "PERIMETER BEHAVIORAL HOSPITAL OF SPRING", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:ridgemont-equity-partners", "label": "Ridgemont Equity Partners", "kind": "pe_sponsor", "evidence": "research tracker or primary portfolio source" }, { "id": "organization:perimeter-behavioral-health", "label": "Perimeter Behavioral Health", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:orchard-holdings-iii-llc:0", "label": "ORCHARD HOLDINGS III LLC", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:orchard-holdings-llc:1", "label": "ORCHARD HOLDINGS LLC", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:mitchell-family-irrevocable-trust-u-a-dated-december-28-2012:2", "label": "MITCHELL FAMILY IRREVOCABLE TRUST U/A DATED DECEMBER 28, 2012", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:mitchell-family-iii-irrevocable-gst-trust:3", "label": "MITCHELL FAMILY III IRREVOCABLE GST TRUST", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:george-dunaway:4", "label": "GEORGE DUNAWAY", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:rochelle-gerber:5", "label": "ROCHELLE GERBER", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:holdco-perimeter-llc:6", "label": "HOLDCO PERIMETER LLC", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:rep-wr-holdings-llc:7", "label": "REP WR HOLDINGS LLC", "kind": "cms_holding_company", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:mitchell-family-ii-irrevocable-trust-u-a-dated-october-26-2016:8", "label": "MITCHELL FAMILY II IRREVOCABLE TRUST U/A DATED OCTOBER 26, 2016", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:james-laughlin:9", "label": "JAMES LAUGHLIN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:perimeter-acquisition-holdco-llc:10", "label": "PERIMETER ACQUISITION HOLDCO LLC", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:crystal-hanson:11", "label": "CRYSTAL HANSON", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:mfo-perimeter-llc:12", "label": "MFO PERIMETER LLC", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:orchard-holdings-ii-llc:13", "label": "ORCHARD HOLDINGS II LLC", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:mark-t-mitchell-living-trust:14", "label": "MARK T MITCHELL LIVING TRUST", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" } ], "edges": [ { "id": "organization:ridgemont-equity-partners->organization:perimeter-behavioral-health", "from": "organization:ridgemont-equity-partners", "to": "organization:perimeter-behavioral-health", "relationship": "sponsors", "confidence": "medium", "sourceIds": [ "source-cms-hospital-all-owners", "source-pesp-hospital-tracker" ], "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name." }, { "id": "organization:perimeter-behavioral-health->facility:264033", "from": "organization:perimeter-behavioral-health", "to": "facility:264033", "relationship": "reported ownership or operating chain", "confidence": "high", "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:orchard-holdings-iii-llc:0->facility:264033", "from": "cms-owner:orchard-holdings-iii-llc:0", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9.4% reported ownership · associated 04/11/2025" }, { "id": "cms-owner:orchard-holdings-llc:1->facility:264033", "from": "cms-owner:orchard-holdings-llc:1", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 33.8% reported ownership · associated 04/11/2025" }, { "id": "cms-owner:mitchell-family-irrevocable-trust-u-a-dated-december-28-2012:2->facility:264033", "from": "cms-owner:mitchell-family-irrevocable-trust-u-a-dated-december-28-2012:2", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 33.4% reported ownership · associated 04/11/2025" }, { "id": "cms-owner:mitchell-family-iii-irrevocable-gst-trust:3->facility:264033", "from": "cms-owner:mitchell-family-iii-irrevocable-gst-trust:3", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9.3% reported ownership · associated 04/11/2025" }, { "id": "cms-owner:george-dunaway:4->facility:264033", "from": "cms-owner:george-dunaway:4", "to": "facility:264033", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 10/26/2018" }, { "id": "cms-owner:rochelle-gerber:5->facility:264033", "from": "cms-owner:rochelle-gerber:5", "to": "facility:264033", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 10/26/2018" }, { "id": "cms-owner:holdco-perimeter-llc:6->facility:264033", "from": "cms-owner:holdco-perimeter-llc:6", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/22/2025" }, { "id": "cms-owner:rep-wr-holdings-llc:7->facility:264033", "from": "cms-owner:rep-wr-holdings-llc:7", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/20/2019" }, { "id": "cms-owner:mitchell-family-ii-irrevocable-trust-u-a-dated-october-26-2016:8->facility:264033", "from": "cms-owner:mitchell-family-ii-irrevocable-trust-u-a-dated-october-26-2016:8", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 18.6% reported ownership · associated 04/11/2025" }, { "id": "cms-owner:james-laughlin:9->facility:264033", "from": "cms-owner:james-laughlin:9", "to": "facility:264033", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 10/26/2018" }, { "id": "cms-owner:perimeter-acquisition-holdco-llc:10->facility:264033", "from": "cms-owner:perimeter-acquisition-holdco-llc:10", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/11/2025" }, { "id": "cms-owner:crystal-hanson:11->facility:264033", "from": "cms-owner:crystal-hanson:11", "to": "facility:264033", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 01/23/2026" }, { "id": "cms-owner:mfo-perimeter-llc:12->facility:264033", "from": "cms-owner:mfo-perimeter-llc:12", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 89.3% reported ownership · associated 04/11/2025" }, { "id": "cms-owner:orchard-holdings-ii-llc:13->facility:264033", "from": "cms-owner:orchard-holdings-ii-llc:13", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 18.8% reported ownership · associated 04/11/2025" }, { "id": "cms-owner:mark-t-mitchell-living-trust:14->facility:264033", "from": "cms-owner:mark-t-mitchell-living-trust:14", "to": "facility:264033", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 28% reported ownership · associated 04/11/2025" } ], "caveats": [ "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.", "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence." ] }, "descriptiveTrends": [] }