{
  "schemaVersion": 3,
  "entityId": "280077",
  "canonicalName": "METHODIST FREMONT HEALTH",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "METHODIST FREMONT HEALTH 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"
  },
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    "npi": "1033698543",
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    "aliases": [
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        "alias": "METHODIST FREMONT HEALTH",
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      "from_entity_id": "reported owner",
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      "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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      "comparable_to_prior": "review_required"
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    },
    {
      "organization": "WILLIAM VOBEJDA",
      "role": "CORPORATE OFFICER",
      "association_date": "09/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM VOBEJDA",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "09/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRET GRIESS",
      "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": "NEBRASKA METHODIST HEALTH SYSTEM INC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "06/29/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KENNETH BEEBE",
      "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": "SHAUN CUSTARD",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "05/31/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SHAUN CUSTARD",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "05/31/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:280077",
        "label": "METHODIST FREMONT HEALTH",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:methodist-health-system",
        "label": "Methodist Health System",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:adam-lamprecht:0",
        "label": "ADAM LAMPRECHT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:melinda-kentfield:1",
        "label": "MELINDA KENTFIELD",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:melinda-kentfield:2",
        "label": "MELINDA KENTFIELD",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:jeffrey-francis:3",
        "label": "JEFFREY FRANCIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:jeffrey-francis:4",
        "label": "JEFFREY FRANCIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jennifer-bixby:5",
        "label": "JENNIFER BIXBY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:monty-sellon:6",
        "label": "MONTY SELLON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:stephen-goeser:7",
        "label": "STEPHEN GOESER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:stephen-goeser:8",
        "label": "STEPHEN GOESER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:stephen-goeser:9",
        "label": "STEPHEN GOESER",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:steven-navarrette:10",
        "label": "STEVEN NAVARRETTE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:fred-waring:11",
        "label": "FRED WARING",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jody-horner:12",
        "label": "JODY HORNER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:tammy-deemer:13",
        "label": "TAMMY DEEMER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:tammy-deemer:14",
        "label": "TAMMY DEEMER",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:nicole-wagner-dix:15",
        "label": "NICOLE WAGNER DIX",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:methodist-health-system->facility:280077",
        "from": "organization:methodist-health-system",
        "to": "facility:280077",
        "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:adam-lamprecht:0->facility:280077",
        "from": "cms-owner:adam-lamprecht:0",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2018"
      },
      {
        "id": "cms-owner:melinda-kentfield:1->facility:280077",
        "from": "cms-owner:melinda-kentfield:1",
        "to": "facility:280077",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 10/01/2018"
      },
      {
        "id": "cms-owner:melinda-kentfield:2->facility:280077",
        "from": "cms-owner:melinda-kentfield:2",
        "to": "facility:280077",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 10/01/2018"
      },
      {
        "id": "cms-owner:jeffrey-francis:3->facility:280077",
        "from": "cms-owner:jeffrey-francis:3",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/29/2018"
      },
      {
        "id": "cms-owner:jeffrey-francis:4->facility:280077",
        "from": "cms-owner:jeffrey-francis:4",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/29/2018"
      },
      {
        "id": "cms-owner:jennifer-bixby:5->facility:280077",
        "from": "cms-owner:jennifer-bixby:5",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:monty-sellon:6->facility:280077",
        "from": "cms-owner:monty-sellon:6",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2018"
      },
      {
        "id": "cms-owner:stephen-goeser:7->facility:280077",
        "from": "cms-owner:stephen-goeser:7",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/29/2018"
      },
      {
        "id": "cms-owner:stephen-goeser:8->facility:280077",
        "from": "cms-owner:stephen-goeser:8",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/29/2018"
      },
      {
        "id": "cms-owner:stephen-goeser:9->facility:280077",
        "from": "cms-owner:stephen-goeser:9",
        "to": "facility:280077",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 06/29/2018"
      },
      {
        "id": "cms-owner:steven-navarrette:10->facility:280077",
        "from": "cms-owner:steven-navarrette:10",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2018"
      },
      {
        "id": "cms-owner:fred-waring:11->facility:280077",
        "from": "cms-owner:fred-waring:11",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2018"
      },
      {
        "id": "cms-owner:jody-horner:12->facility:280077",
        "from": "cms-owner:jody-horner:12",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2018"
      },
      {
        "id": "cms-owner:tammy-deemer:13->facility:280077",
        "from": "cms-owner:tammy-deemer:13",
        "to": "facility:280077",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 11/07/2022"
      },
      {
        "id": "cms-owner:tammy-deemer:14->facility:280077",
        "from": "cms-owner:tammy-deemer:14",
        "to": "facility:280077",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 11/07/2022"
      },
      {
        "id": "cms-owner:nicole-wagner-dix:15->facility:280077",
        "from": "cms-owner:nicole-wagner-dix:15",
        "to": "facility:280077",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2018"
      }
    ],
    "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": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 132041000,
      "latestValue": 144944802,
      "absoluteChange": 12903802,
      "percentChange": 9.772572155618331,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 111018570,
      "latestValue": 127117373,
      "absoluteChange": 16098803,
      "percentChange": 14.50100014799326,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 33417000,
      "latestValue": 29689155,
      "absoluteChange": -3727845,
      "percentChange": -11.155534608133584,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 125519000,
      "latestValue": 146117000,
      "absoluteChange": 20598000,
      "percentChange": 16.41026458145779,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 66724000,
      "latestValue": 47094000,
      "absoluteChange": -19630000,
      "percentChange": -29.419699058809424,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 4845810,
      "latestValue": 5483457,
      "absoluteChange": 637647,
      "percentChange": 13.15872888123967,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1,
      "latestValue": 1,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 50,
      "latestValue": 50,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 7925,
      "latestValue": 9134,
      "absoluteChange": 1209,
      "percentChange": 15.255520504731862,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 2403,
      "latestValue": 2958,
      "absoluteChange": 555,
      "percentChange": 23.096129837702872,
      "unit": "discharges"
    }
  ]
}
