{ "schemaVersion": 3, "entityId": "280134", "canonicalName": "KEARNEY REGIONAL MEDICAL CENTER, LLC", "status": "signal", "statusLabel": "Documented investment signal", "summary": "KEARNEY REGIONAL MEDICAL CENTER, LLC 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": "280134", "npi": "1407513484", "historicalCcns": [], "aliases": [ { "alias": "BRYAN HOSPITAL KEARNEY", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "KEARNEY REGIONAL MEDICAL CENTER", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-reportedowner-280134", "from_entity_id": "reported owner", "to_entity_id": "280134", "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": "280134-net_patient_revenue-12-31-2023", "entity_id": "280134", "metric_name": "net_patient_revenue", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "159447678", "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": "280134-net_patient_revenue-12-31-2022", "entity_id": "280134", "metric_name": "net_patient_revenue", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "145908600", "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": "280134-net_patient_revenue-12-31-2021", "entity_id": "280134", "metric_name": "net_patient_revenue", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "159405549", "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": "280134-operating_expense-12-31-2023", "entity_id": "280134", "metric_name": "operating_expense", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "174471538", "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": "280134-operating_expense-12-31-2022", "entity_id": "280134", "metric_name": "operating_expense", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "160075964", "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": "280134-operating_expense-12-31-2021", "entity_id": "280134", "metric_name": "operating_expense", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "169467930", "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": "280134-net_income-12-31-2023", "entity_id": "280134", "metric_name": "net_income", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "148178313", "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": "280134-net_income-12-31-2022", "entity_id": "280134", "metric_name": "net_income", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "-12796163", "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": "280134-net_income-12-31-2021", "entity_id": "280134", "metric_name": "net_income", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "145043839", "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": "280134-total_assets-12-31-2023", "entity_id": "280134", "metric_name": "total_assets", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "368938124", "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": "280134-total_assets-12-31-2022", "entity_id": "280134", "metric_name": "total_assets", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "366058350", "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": "280134-total_assets-12-31-2021", "entity_id": "280134", "metric_name": "total_assets", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "71757424", "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": "280134-total_liabilities-12-31-2023", "entity_id": "280134", "metric_name": "total_liabilities", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "56700311", "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": "280134-total_liabilities-12-31-2022", "entity_id": "280134", "metric_name": "total_liabilities", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "208854513", "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": "280134-total_liabilities-12-31-2021", "entity_id": "280134", "metric_name": "total_liabilities", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "22447089", "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": "280134-contract_labor_direct_patient_care-12-31-2023", "entity_id": "280134", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "8935406", "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": "280134-contract_labor_direct_patient_care-12-31-2022", "entity_id": "280134", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "10132417", "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": "280134-contract_labor_direct_patient_care-12-31-2021", "entity_id": "280134", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "8033063", "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": "280134-fte_employees-12-31-2023", "entity_id": "280134", "metric_name": "fte_employees", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "570", "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": "280134-fte_employees-12-31-2022", "entity_id": "280134", "metric_name": "fte_employees", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "648.26", "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": "280134-fte_employees-12-31-2021", "entity_id": "280134", "metric_name": "fte_employees", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "636.5", "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": "280134-beds-12-31-2023", "entity_id": "280134", "metric_name": "beds", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "93", "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": "280134-beds-12-31-2022", "entity_id": "280134", "metric_name": "beds", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "93", "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": "280134-beds-12-31-2021", "entity_id": "280134", "metric_name": "beds", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "93", "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": "280134-patient_days-12-31-2023", "entity_id": "280134", "metric_name": "patient_days", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "15264", "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": "280134-patient_days-12-31-2022", "entity_id": "280134", "metric_name": "patient_days", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "13820", "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": "280134-patient_days-12-31-2021", "entity_id": "280134", "metric_name": "patient_days", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "13057", "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": "280134-discharges-12-31-2023", "entity_id": "280134", "metric_name": "discharges", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "4309", "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": "280134-discharges-12-31-2022", "entity_id": "280134", "metric_name": "discharges", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "2737", "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": "280134-discharges-12-31-2021", "entity_id": "280134", "metric_name": "discharges", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "2307", "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": "BRENDA BENJAMIN", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "THOMAS MCLEOD", "role": "W-2 MANAGING EMPLOYEE", "association_date": "01/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "THOMAS MCLEOD", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "01/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SHEALEE CLAUSEN", "role": "W-2 MANAGING EMPLOYEE", "association_date": "01/28/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SHEALEE CLAUSEN", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "01/28/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOSEPH COCHRAN", "role": "CORPORATE OFFICER", "association_date": "01/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOSEPH COCHRAN", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DANIEL VANRANKEN", "role": "W-2 MANAGING EMPLOYEE", "association_date": "02/13/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DANIEL VANRANKEN", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "02/13/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SEAN DENNEY", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DOUGLAS KOCH", "role": "CORPORATE OFFICER", "association_date": "08/05/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DOUGLAS KOCH", "role": "W-2 MANAGING EMPLOYEE", "association_date": "08/05/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DOUGLAS KOCH", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "08/05/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BRYAN HEALTH", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "10/28/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JEFFREY HINRICHS", "role": "CORPORATE OFFICER", "association_date": "01/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JEFFREY HINRICHS", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DAVID BENAVIDES", "role": "CORPORATE OFFICER", "association_date": "01/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DAVID BENAVIDES", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KARIANNE NICKMAN", "role": "CORPORATE OFFICER", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JASON WALSH", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN WOODRICH", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SCOTT SMITH", "role": "CORPORATE OFFICER", "association_date": "01/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SCOTT SMITH", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL W MORGAN", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DERICK LORENTZ", "role": "W-2 MANAGING EMPLOYEE", "association_date": "10/06/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DERICK LORENTZ", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "04/07/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MERLIN WEHLING", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "RUSSELL GRONEWOLD", "role": "CORPORATE DIRECTOR", "association_date": "10/28/2021", "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:280134", "label": "KEARNEY REGIONAL MEDICAL CENTER, LLC", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:bryan-health", "label": "BRYAN HEALTH", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:brenda-benjamin:0", "label": "BRENDA BENJAMIN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:thomas-mcleod:1", "label": "THOMAS MCLEOD", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:thomas-mcleod:2", "label": "THOMAS MCLEOD", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:shealee-clausen:3", "label": "SHEALEE CLAUSEN", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:shealee-clausen:4", "label": "SHEALEE CLAUSEN", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:joseph-cochran:5", "label": "JOSEPH COCHRAN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:joseph-cochran:6", "label": "JOSEPH COCHRAN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:daniel-vanranken:7", "label": "DANIEL VANRANKEN", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:daniel-vanranken:8", "label": "DANIEL VANRANKEN", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:sean-denney:9", "label": "SEAN DENNEY", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:douglas-koch:10", "label": "DOUGLAS KOCH", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:douglas-koch:11", "label": "DOUGLAS KOCH", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:douglas-koch:12", "label": "DOUGLAS KOCH", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:bryan-health:13", "label": "BRYAN HEALTH", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:jeffrey-hinrichs:14", "label": "JEFFREY HINRICHS", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:jeffrey-hinrichs:15", "label": "JEFFREY HINRICHS", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" } ], "edges": [ { "id": "organization:bryan-health->facility:280134", "from": "organization:bryan-health", "to": "facility:280134", "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:brenda-benjamin:0->facility:280134", "from": "cms-owner:brenda-benjamin:0", "to": "facility:280134", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 06/01/2022" }, { "id": "cms-owner:thomas-mcleod:1->facility:280134", "from": "cms-owner:thomas-mcleod:1", "to": "facility:280134", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 01/01/2022" }, { "id": "cms-owner:thomas-mcleod:2->facility:280134", "from": "cms-owner:thomas-mcleod:2", "to": "facility:280134", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 01/01/2022" }, { "id": "cms-owner:shealee-clausen:3->facility:280134", "from": "cms-owner:shealee-clausen:3", "to": "facility:280134", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 01/28/2024" }, { "id": "cms-owner:shealee-clausen:4->facility:280134", "from": "cms-owner:shealee-clausen:4", "to": "facility:280134", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 01/28/2024" }, { "id": "cms-owner:joseph-cochran:5->facility:280134", "from": "cms-owner:joseph-cochran:5", "to": "facility:280134", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 01/01/2023" }, { "id": "cms-owner:joseph-cochran:6->facility:280134", "from": "cms-owner:joseph-cochran:6", "to": "facility:280134", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 06/01/2022" }, { "id": "cms-owner:daniel-vanranken:7->facility:280134", "from": "cms-owner:daniel-vanranken:7", "to": "facility:280134", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 02/13/2023" }, { "id": "cms-owner:daniel-vanranken:8->facility:280134", "from": "cms-owner:daniel-vanranken:8", "to": "facility:280134", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 02/13/2023" }, { "id": "cms-owner:sean-denney:9->facility:280134", "from": "cms-owner:sean-denney:9", "to": "facility:280134", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 06/01/2022" }, { "id": "cms-owner:douglas-koch:10->facility:280134", "from": "cms-owner:douglas-koch:10", "to": "facility:280134", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 08/05/2024" }, { "id": "cms-owner:douglas-koch:11->facility:280134", "from": "cms-owner:douglas-koch:11", "to": "facility:280134", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 08/05/2024" }, { "id": "cms-owner:douglas-koch:12->facility:280134", "from": "cms-owner:douglas-koch:12", "to": "facility:280134", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 08/05/2024" }, { "id": "cms-owner:bryan-health:13->facility:280134", "from": "cms-owner:bryan-health:13", "to": "facility:280134", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 10/28/2021" }, { "id": "cms-owner:jeffrey-hinrichs:14->facility:280134", "from": "cms-owner:jeffrey-hinrichs:14", "to": "facility:280134", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 01/01/2023" }, { "id": "cms-owner:jeffrey-hinrichs:15->facility:280134", "from": "cms-owner:jeffrey-hinrichs:15", "to": "facility:280134", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 06/01/2022" } ], "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": 159405549, "latestValue": 159447678, "absoluteChange": 42129, "percentChange": 0.02642881647739879, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 169467930, "latestValue": 174471538, "absoluteChange": 5003608, "percentChange": 2.9525397519164835, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 145043839, "latestValue": 148178313, "absoluteChange": 3134474, "percentChange": 2.1610528386524575, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 71757424, "latestValue": 368938124, "absoluteChange": 297180700, "percentChange": 414.1462770458427, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 22447089, "latestValue": 56700311, "absoluteChange": 34253222, "percentChange": 152.59538553083652, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 8033063, "latestValue": 8935406, "absoluteChange": 902343, "percentChange": 11.23286347934779, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 636.5, "latestValue": 570, "absoluteChange": -66.5, "percentChange": -10.44776119402985, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 93, "latestValue": 93, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 13057, "latestValue": 15264, "absoluteChange": 2207, "percentChange": 16.902810752852876, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 2307, "latestValue": 4309, "absoluteChange": 2002, "percentChange": 86.77936714347638, "unit": "discharges" } ] }