{
  "schemaVersion": 3,
  "entityId": "280013-loc-ne-omaha-the-nebraska-medical-center",
  "canonicalName": "THE NEBRASKA MEDICAL CENTER",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for NEBRASKA MEDICAL CENTER. 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": "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": "280013",
    "npi": "1356307581",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "NEBRASKA MEDICAL CENTER",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ],
    "campus_location_id": "280013-loc-ne-omaha-the-nebraska-medical-center",
    "legacy_host_id": "280013"
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-intandemcapitalpartners-280013",
      "from_entity_id": "InTandem Capital Partners",
      "to_entity_id": "280013",
      "relationship_type": "owns",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies InTandem Capital Partners 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": [],
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      "period_end": "06/30/2024",
      "value": "1605524543",
      "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": "280013-net_patient_revenue-06-30-2023",
      "entity_id": "280013",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "1423638488",
      "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": "280013-net_patient_revenue-06-30-2022",
      "entity_id": "280013",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "1294888474",
      "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": "280013-operating_expense-06-30-2024",
      "entity_id": "280013",
      "metric_name": "operating_expense",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "2372932381",
      "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": "280013-operating_expense-06-30-2023",
      "entity_id": "280013",
      "metric_name": "operating_expense",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "2204603111",
      "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": "280013-operating_expense-06-30-2022",
      "entity_id": "280013",
      "metric_name": "operating_expense",
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      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-net_income-06-30-2024",
      "entity_id": "280013",
      "metric_name": "net_income",
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      "unit": "USD",
      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-net_income-06-30-2023",
      "entity_id": "280013",
      "metric_name": "net_income",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-net_income-06-30-2022",
      "entity_id": "280013",
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    },
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      "metric_id": "280013-total_assets-06-30-2024",
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    },
    {
      "metric_id": "280013-total_assets-06-30-2023",
      "entity_id": "280013",
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      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-total_assets-06-30-2022",
      "entity_id": "280013",
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      "entity_id": "280013",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-total_liabilities-06-30-2023",
      "entity_id": "280013",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-total_liabilities-06-30-2022",
      "entity_id": "280013",
      "metric_name": "total_liabilities",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-contract_labor_direct_patient_care-06-30-2024",
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    },
    {
      "metric_id": "280013-contract_labor_direct_patient_care-06-30-2023",
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    },
    {
      "metric_id": "280013-contract_labor_direct_patient_care-06-30-2022",
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    },
    {
      "metric_id": "280013-fte_employees-06-30-2024",
      "entity_id": "280013",
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      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
    {
      "metric_id": "280013-fte_employees-06-30-2023",
      "entity_id": "280013",
      "metric_name": "fte_employees",
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    },
    {
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      "entity_id": "280013",
      "metric_name": "fte_employees",
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      "unit": "FTE",
      "better_when": "context_dependent",
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    },
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      "metric_id": "280013-beds-06-30-2024",
      "entity_id": "280013",
      "metric_name": "beds",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
    {
      "metric_id": "280013-beds-06-30-2023",
      "entity_id": "280013",
      "metric_name": "beds",
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      "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.",
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    },
    {
      "metric_id": "280013-beds-06-30-2022",
      "entity_id": "280013",
      "metric_name": "beds",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
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      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-patient_days-06-30-2024",
      "entity_id": "280013",
      "metric_name": "patient_days",
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      "period_end": "06/30/2024",
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      "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": "280013-patient_days-06-30-2023",
      "entity_id": "280013",
      "metric_name": "patient_days",
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      "period_end": "06/30/2023",
      "value": "187881",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-patient_days-06-30-2022",
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      "metric_name": "patient_days",
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      "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": "280013-discharges-06-30-2024",
      "entity_id": "280013",
      "metric_name": "discharges",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "22549",
      "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": "280013-discharges-06-30-2023",
      "entity_id": "280013",
      "metric_name": "discharges",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "21206",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "280013-discharges-06-30-2022",
      "entity_id": "280013",
      "metric_name": "discharges",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "21285",
      "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.",
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    }
  ],
  "cmsOwnerRecords": [
    {
      "organization": "KELLY VAUGHN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "03/11/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEFFREY GOLD",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/22/2026",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "NEBRASKA MEDICAL CENTER",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "10/01/1997",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HERBERT DAVIES",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JANA DANIELSON",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "10/01/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEPHANIE DAUBERT",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2014",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEPHANIE DAUBERT",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/01/2014",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM LYDIATT",
      "role": "CORPORATE OFFICER",
      "association_date": "01/22/2026",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID MERCER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/01/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRADLEY BRITIGAN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "THOMAS DIESING",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2026",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "NEBRASKA MEDICINE",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "12/21/2017",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KRISTINA KIVINIEMI",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported investment sponsor: InTandem Capital Partners."
  ],
  "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.",
    "This campus/location dossier reuses the source packet for the same legacy hospital ID. Parent and sibling links still follow this location record’s separately qualified ownership fields; PE status was copied only after exact PE-field agreement."
  ],
  "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:280013-loc-ne-omaha-the-nebraska-medical-center",
        "label": "THE NEBRASKA MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:intandem-capital-partners",
        "label": "InTandem Capital Partners",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:nebraska-medical-center",
        "label": "NEBRASKA MEDICAL CENTER",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:kelly-vaughn:0",
        "label": "KELLY VAUGHN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jeffrey-gold:1",
        "label": "JEFFREY GOLD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:nebraska-medical-center:2",
        "label": "NEBRASKA MEDICAL CENTER",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:herbert-davies:3",
        "label": "HERBERT DAVIES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jana-danielson:4",
        "label": "JANA DANIELSON",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:stephanie-daubert:5",
        "label": "STEPHANIE DAUBERT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:stephanie-daubert:6",
        "label": "STEPHANIE DAUBERT",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:william-lydiatt:7",
        "label": "WILLIAM LYDIATT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:david-mercer:8",
        "label": "DAVID MERCER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bradley-britigan:9",
        "label": "BRADLEY BRITIGAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:thomas-diesing:10",
        "label": "THOMAS DIESING",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:nebraska-medicine:11",
        "label": "NEBRASKA MEDICINE",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:kristina-kiviniemi:12",
        "label": "KRISTINA KIVINIEMI",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:intandem-capital-partners->organization:nebraska-medical-center",
        "from": "organization:intandem-capital-partners",
        "to": "organization:nebraska-medical-center",
        "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:nebraska-medical-center->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "organization:nebraska-medical-center",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "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:kelly-vaughn:0->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:kelly-vaughn:0",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/11/2024"
      },
      {
        "id": "cms-owner:jeffrey-gold:1->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:jeffrey-gold:1",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/22/2026"
      },
      {
        "id": "cms-owner:nebraska-medical-center:2->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:nebraska-medical-center:2",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 10/01/1997"
      },
      {
        "id": "cms-owner:herbert-davies:3->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:herbert-davies:3",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      },
      {
        "id": "cms-owner:jana-danielson:4->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:jana-danielson:4",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 10/01/2018"
      },
      {
        "id": "cms-owner:stephanie-daubert:5->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:stephanie-daubert:5",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2014"
      },
      {
        "id": "cms-owner:stephanie-daubert:6->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:stephanie-daubert:6",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/01/2014"
      },
      {
        "id": "cms-owner:william-lydiatt:7->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:william-lydiatt:7",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/22/2026"
      },
      {
        "id": "cms-owner:david-mercer:8->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:david-mercer:8",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2018"
      },
      {
        "id": "cms-owner:bradley-britigan:9->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:bradley-britigan:9",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2016"
      },
      {
        "id": "cms-owner:thomas-diesing:10->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:thomas-diesing:10",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2026"
      },
      {
        "id": "cms-owner:nebraska-medicine:11->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:nebraska-medicine:11",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/21/2017"
      },
      {
        "id": "cms-owner:kristina-kiviniemi:12->facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "from": "cms-owner:kristina-kiviniemi:12",
        "to": "facility:280013-loc-ne-omaha-the-nebraska-medical-center",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/01/2025"
      }
    ],
    "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": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1294888474,
      "latestValue": 1605524543,
      "absoluteChange": 310636069,
      "percentChange": 23.989407214385324,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1987585988,
      "latestValue": 2372932381,
      "absoluteChange": 385346393,
      "percentChange": 19.387658965524967,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 32735316,
      "latestValue": 102804615,
      "absoluteChange": 70069299,
      "percentChange": 214.04802996250288,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 2022267939,
      "latestValue": 2356439448,
      "absoluteChange": 334171509,
      "percentChange": 16.524591156068364,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 834580832,
      "latestValue": 982287855,
      "absoluteChange": 147707023,
      "percentChange": 17.69834836082121,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 95290538,
      "latestValue": 93134653,
      "absoluteChange": -2155885,
      "percentChange": -2.262433443286888,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 6960,
      "latestValue": 7318.44,
      "absoluteChange": 358.4399999999996,
      "percentChange": 5.149999999999994,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 613,
      "latestValue": 629,
      "absoluteChange": 16,
      "percentChange": 2.6101141924959217,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 182186,
      "latestValue": 186932,
      "absoluteChange": 4746,
      "percentChange": 2.60503002426092,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 21285,
      "latestValue": 22549,
      "absoluteChange": 1264,
      "percentChange": 5.938454310547334,
      "unit": "discharges"
    }
  ]
}
