{
  "schemaVersion": 4,
  "entityId": "300014",
  "canonicalName": "FRISBIE MEMORIAL HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "FRISBIE MEMORIAL HOSPITAL has a completed New Hampshire state-template dossier baseline with official identity, CMS enrollment/owner context when matched, CMS Care Compare point-in-time context when matched, HCRIS financial/utilization context when matched, and explicit limitations for missing fields. Unsupported ownership, compensation, labor, quality-trend, or causation claims are not inferred.",
  "lastReviewed": "2026-07-02",
  "review": {
    "reviewer": "Five-state state-template completion batch",
    "evidence_grade": "completed state-template official-source baseline",
    "confidence": "medium",
    "source_count": 8,
    "ownership_source_count": 13,
    "identity_match_method": "CMS enrollment match used where available",
    "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.",
    "batch_id": "state-template-complete-2026-07-02-001"
  },
  "identifiers": {
    "ccn": "300014",
    "npi": "1689215030",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "FMH HEALTH SERVICES, LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "FRISBIE MEMORIAL HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "FRISBIE MEMORIAL HOSPITAL",
        "alias_type": "cms_care_compare_name",
        "source_id": "source-cms-care-compare"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-300014",
      "from_entity_id": "reported owner",
      "to_entity_id": "300014",
      "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."
    },
    {
      "relationship_id": "rel-cms-owner-300014",
      "from_entity_id": "proprietary",
      "to_entity_id": "300014",
      "relationship_type": "cms_owner_context",
      "effective_date": "03/01/2020",
      "status": "current_context",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners",
      "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.",
      "review_notes": ""
    },
    {
      "relationship_id": "rel-state-template-operator-300014",
      "from_entity_id": "proprietary",
      "to_entity_id": "300014",
      "relationship_type": "operates",
      "effective_date": "",
      "status": "current_context",
      "confidence": "medium",
      "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare",
      "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.",
      "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families."
    },
    {
      "relationship_id": "rel-cms-owner-300014",
      "from_entity_id": "proprietary",
      "to_entity_id": "300014",
      "relationship_type": "cms_owner_context",
      "effective_date": "03/01/2020",
      "status": "current_context",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners",
      "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.",
      "review_notes": ""
    },
    {
      "relationship_id": "rel-state-template-operator-300014",
      "from_entity_id": "proprietary",
      "to_entity_id": "300014",
      "relationship_type": "operates",
      "effective_date": "",
      "status": "current_context",
      "confidence": "medium",
      "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare",
      "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.",
      "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families."
    },
    {
      "relationship_id": "rel-cms-owner-300014",
      "from_entity_id": "proprietary",
      "to_entity_id": "300014",
      "relationship_type": "cms_owner_context",
      "effective_date": "03/01/2020",
      "status": "current_context",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners",
      "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.",
      "review_notes": ""
    }
  ],
  "acquisitionEvents": [
    {
      "date": "03/01/2020",
      "title": "CMS before/after ownership event",
      "detail": "FRISBIE MEMORIAL HOSPITAL -> FMH HEALTH SERVICES, LLC.",
      "sourceIds": [
        "source-cms-hospital-chow"
      ]
    }
  ],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "300014-net_patient_revenue-02-29-2024",
      "entity_id": "300014",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "63402305",
      "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": "300014-net_patient_revenue-02-28-2023",
      "entity_id": "300014",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "71691890",
      "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": "300014-net_patient_revenue-02-28-2022",
      "entity_id": "300014",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "95977085",
      "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": "300014-net_patient_revenue-02-28-2021",
      "entity_id": "300014",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2020",
      "period_end": "02/28/2021",
      "value": "92704475",
      "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": "300014-operating_expense-02-29-2024",
      "entity_id": "300014",
      "metric_name": "operating_expense",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "83660712",
      "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": "300014-operating_expense-02-28-2023",
      "entity_id": "300014",
      "metric_name": "operating_expense",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "91393315",
      "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": "300014-operating_expense-02-28-2022",
      "entity_id": "300014",
      "metric_name": "operating_expense",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "103932142",
      "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": "300014-operating_expense-02-28-2021",
      "entity_id": "300014",
      "metric_name": "operating_expense",
      "period_start": "03/01/2020",
      "period_end": "02/28/2021",
      "value": "109492580",
      "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": "300014-net_income-02-29-2024",
      "entity_id": "300014",
      "metric_name": "net_income",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "-18116009",
      "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": "300014-net_income-02-28-2023",
      "entity_id": "300014",
      "metric_name": "net_income",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "-11840462",
      "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": "300014-net_income-02-28-2022",
      "entity_id": "300014",
      "metric_name": "net_income",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "-6899215",
      "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": "300014-net_income-02-28-2021",
      "entity_id": "300014",
      "metric_name": "net_income",
      "period_start": "03/01/2020",
      "period_end": "02/28/2021",
      "value": "-9021968",
      "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": "300014-total_assets-02-29-2024",
      "entity_id": "300014",
      "metric_name": "total_assets",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "89018424",
      "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": "300014-total_assets-02-28-2023",
      "entity_id": "300014",
      "metric_name": "total_assets",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "83978844",
      "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": "300014-total_assets-02-28-2022",
      "entity_id": "300014",
      "metric_name": "total_assets",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "82150441",
      "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": "300014-total_assets-02-28-2021",
      "entity_id": "300014",
      "metric_name": "total_assets",
      "period_start": "03/01/2020",
      "period_end": "02/28/2021",
      "value": "85804485",
      "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": "300014-total_liabilities-02-29-2024",
      "entity_id": "300014",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "148159160",
      "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": "300014-total_liabilities-02-28-2023",
      "entity_id": "300014",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "122919443",
      "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": "300014-total_liabilities-02-28-2022",
      "entity_id": "300014",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "105539313",
      "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": "300014-total_liabilities-02-28-2021",
      "entity_id": "300014",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2020",
      "period_end": "02/28/2021",
      "value": "98573156",
      "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": "300014-contract_labor_direct_patient_care-02-29-2024",
      "entity_id": "300014",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "387364",
      "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": "300014-contract_labor_direct_patient_care-02-28-2023",
      "entity_id": "300014",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "1574446",
      "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": "300014-contract_labor_direct_patient_care-09-30-2019",
      "entity_id": "300014",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "10/01/2018",
      "period_end": "09/30/2019",
      "value": "1979941",
      "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": "300014-contract_labor_direct_patient_care-09-30-2018",
      "entity_id": "300014",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "10/01/2017",
      "period_end": "09/30/2018",
      "value": "377603",
      "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": "300014-fte_employees-02-29-2024",
      "entity_id": "300014",
      "metric_name": "fte_employees",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "771.41",
      "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": "300014-fte_employees-02-28-2023",
      "entity_id": "300014",
      "metric_name": "fte_employees",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "308.2",
      "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": "300014-fte_employees-02-28-2022",
      "entity_id": "300014",
      "metric_name": "fte_employees",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "395.36",
      "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": "300014-fte_employees-02-28-2021",
      "entity_id": "300014",
      "metric_name": "fte_employees",
      "period_start": "03/01/2020",
      "period_end": "02/28/2021",
      "value": "467.11",
      "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": "300014-beds-02-29-2024",
      "entity_id": "300014",
      "metric_name": "beds",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "39",
      "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": "300014-beds-02-28-2023",
      "entity_id": "300014",
      "metric_name": "beds",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "58",
      "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": "300014-beds-02-28-2022",
      "entity_id": "300014",
      "metric_name": "beds",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "58",
      "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": "300014-beds-02-28-2021",
      "entity_id": "300014",
      "metric_name": "beds",
      "period_start": "03/01/2020",
      "period_end": "02/28/2021",
      "value": "58",
      "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": "300014-patient_days-02-29-2024",
      "entity_id": "300014",
      "metric_name": "patient_days",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "4675",
      "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": "300014-patient_days-02-28-2023",
      "entity_id": "300014",
      "metric_name": "patient_days",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "7173",
      "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": "300014-patient_days-02-28-2022",
      "entity_id": "300014",
      "metric_name": "patient_days",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "11831",
      "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": "300014-patient_days-02-28-2021",
      "entity_id": "300014",
      "metric_name": "patient_days",
      "period_start": "03/01/2020",
      "period_end": "02/28/2021",
      "value": "11612",
      "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": "300014-discharges-02-29-2024",
      "entity_id": "300014",
      "metric_name": "discharges",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "966",
      "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": "300014-discharges-02-28-2023",
      "entity_id": "300014",
      "metric_name": "discharges",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "1802",
      "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": "300014-discharges-02-28-2022",
      "entity_id": "300014",
      "metric_name": "discharges",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "2415",
      "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": "300014-discharges-02-28-2021",
      "entity_id": "300014",
      "metric_name": "discharges",
      "period_start": "03/01/2020",
      "period_end": "02/28/2021",
      "value": "2431",
      "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": "HCA SQUARED LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "03/01/2020",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HCA INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "03/01/2020",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ERIC SMITH",
      "role": "CONTRACTED MANAGING EMPLOYEE",
      "association_date": "03/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HCA HEALTHCARE INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "03/01/2020",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HERCULES HOLDING II",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "03/02/2020",
      "percentage_ownership": "20",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HALEY BIGGERS",
      "role": "CORPORATE OFFICER",
      "association_date": "05/25/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HEALTHTRUST INC - THE HOSPITAL COMPANY",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "03/01/2020",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HOSPITAL CORP LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "03/01/2020",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "THOMAS BOWDEN",
      "role": "CORPORATE OFFICER",
      "association_date": "02/17/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "THOMAS BOWDEN",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "02/17/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "FRISCO HOLDING II",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "03/01/2020",
      "percentage_ownership": "10.6",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Operator/owner context: Proprietary.",
    "CMS Care Compare ownership category: Proprietary."
  ],
  "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.",
    "This five-state template completion pass used official cached CMS/HIFLD/PESP/HCRIS sources and records missing items; it does not claim the entire internet was exhausted."
  ],
  "unavailableFields": [
    "Precise acquisition date",
    "Official facility URL",
    "source-backed local CEO/current leader",
    "official CEO image URL",
    "facility-level CEO compensation amount"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-07-02",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Facility location and identity source; does not establish ownership or control.",
      "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": "2026-07-02",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery source for PE, contract, and transaction-signal follow-up; not enough by itself for direct control claims.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "current cached official file",
      "retrieved_at": "2026-07-02",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "current cached official file",
      "retrieved_at": "2026-07-02",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015-2024 cached official files",
      "retrieved_at": "2026-07-02",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values; descriptive only and not causal evidence.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "current cached official file",
      "retrieved_at": "2026-07-02",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Facility type, ownership category, emergency services, and overall rating context.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-chow",
      "title": "Hospital Change of Ownership",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "current cached official file",
      "retrieved_at": "2026-07-02",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
      "reliability_tier": "government",
      "research_note": "Used for before/after ownership and enrollment transfer events when a matching CHOW row exists.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pehw-state-template-completion-2026-07-02",
      "title": "PE Healthcare Watch five-state template completion batch",
      "publisher": "PE Healthcare Watch",
      "publication_date": "2026-07-02",
      "retrieved_at": "2026-07-02",
      "url": "/data/releases/release-2026-07-02-state-template-complete-001.json",
      "reliability_tier": "research",
      "research_note": "Internal public release marker for the five-state template completion. It documents scope and limitations; it is not independent ownership evidence.",
      "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:300014",
        "label": "FRISBIE MEMORIAL HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "cms-owner:hca-squared-llc:0",
        "label": "HCA SQUARED LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:hca-inc:1",
        "label": "HCA INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:eric-smith:2",
        "label": "ERIC SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:hca-healthcare-inc:3",
        "label": "HCA HEALTHCARE INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:hercules-holding-ii:4",
        "label": "HERCULES HOLDING II",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:haley-biggers:5",
        "label": "HALEY BIGGERS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:healthtrust-inc-the-hospital-company:6",
        "label": "HEALTHTRUST INC - THE HOSPITAL COMPANY",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:hospital-corp-llc:7",
        "label": "HOSPITAL CORP LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:thomas-bowden:8",
        "label": "THOMAS BOWDEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:thomas-bowden:9",
        "label": "THOMAS BOWDEN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:frisco-holding-ii:10",
        "label": "FRISCO HOLDING II",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "cms-owner:hca-squared-llc:0->facility:300014",
        "from": "cms-owner:hca-squared-llc:0",
        "to": "facility:300014",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 03/01/2020"
      },
      {
        "id": "cms-owner:hca-inc:1->facility:300014",
        "from": "cms-owner:hca-inc:1",
        "to": "facility:300014",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 03/01/2020"
      },
      {
        "id": "cms-owner:eric-smith:2->facility:300014",
        "from": "cms-owner:eric-smith:2",
        "to": "facility:300014",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · associated 03/01/2021"
      },
      {
        "id": "cms-owner:hca-healthcare-inc:3->facility:300014",
        "from": "cms-owner:hca-healthcare-inc:3",
        "to": "facility:300014",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 03/01/2020"
      },
      {
        "id": "cms-owner:hercules-holding-ii:4->facility:300014",
        "from": "cms-owner:hercules-holding-ii:4",
        "to": "facility:300014",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 20% reported ownership · associated 03/02/2020"
      },
      {
        "id": "cms-owner:haley-biggers:5->facility:300014",
        "from": "cms-owner:haley-biggers:5",
        "to": "facility:300014",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 05/25/2025"
      },
      {
        "id": "cms-owner:healthtrust-inc-the-hospital-company:6->facility:300014",
        "from": "cms-owner:healthtrust-inc-the-hospital-company:6",
        "to": "facility:300014",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 03/01/2020"
      },
      {
        "id": "cms-owner:hospital-corp-llc:7->facility:300014",
        "from": "cms-owner:hospital-corp-llc:7",
        "to": "facility:300014",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 03/01/2020"
      },
      {
        "id": "cms-owner:thomas-bowden:8->facility:300014",
        "from": "cms-owner:thomas-bowden:8",
        "to": "facility:300014",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 02/17/2025"
      },
      {
        "id": "cms-owner:thomas-bowden:9->facility:300014",
        "from": "cms-owner:thomas-bowden:9",
        "to": "facility:300014",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 02/17/2025"
      },
      {
        "id": "cms-owner:frisco-holding-ii:10->facility:300014",
        "from": "cms-owner:frisco-holding-ii:10",
        "to": "facility:300014",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 10.6% reported ownership · associated 03/01/2020"
      }
    ],
    "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": "02/28/2021",
      "latestPeriod": "02/29/2024",
      "earliestValue": 92704475,
      "latestValue": 63402305,
      "absoluteChange": -29302170,
      "percentChange": -31.608150523477967,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "02/28/2021",
      "latestPeriod": "02/29/2024",
      "earliestValue": 109492580,
      "latestValue": 83660712,
      "absoluteChange": -25831868,
      "percentChange": -23.592345709636213,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "02/28/2021",
      "latestPeriod": "02/29/2024",
      "earliestValue": -9021968,
      "latestValue": -18116009,
      "absoluteChange": -9094041,
      "percentChange": -100.79886117973373,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "02/28/2021",
      "latestPeriod": "02/29/2024",
      "earliestValue": 85804485,
      "latestValue": 89018424,
      "absoluteChange": 3213939,
      "percentChange": 3.7456538548072396,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "02/28/2021",
      "latestPeriod": "02/29/2024",
      "earliestValue": 98573156,
      "latestValue": 148159160,
      "absoluteChange": 49586004,
      "percentChange": 50.30376018395921,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "09/30/2018",
      "latestPeriod": "02/29/2024",
      "earliestValue": 377603,
      "latestValue": 387364,
      "absoluteChange": 9761,
      "percentChange": 2.5849900556934133,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "02/28/2021",
      "latestPeriod": "02/29/2024",
      "earliestValue": 467.11,
      "latestValue": 771.41,
      "absoluteChange": 304.29999999999995,
      "percentChange": 65.14525486502107,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "02/28/2021",
      "latestPeriod": "02/29/2024",
      "earliestValue": 58,
      "latestValue": 39,
      "absoluteChange": -19,
      "percentChange": -32.758620689655174,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "02/28/2021",
      "latestPeriod": "02/29/2024",
      "earliestValue": 11612,
      "latestValue": 4675,
      "absoluteChange": -6937,
      "percentChange": -59.739924216327935,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "02/28/2021",
      "latestPeriod": "02/29/2024",
      "earliestValue": 2431,
      "latestValue": 966,
      "absoluteChange": -1465,
      "percentChange": -60.263266145619085,
      "unit": "discharges"
    }
  ],
  "firstGlance": {
    "taxOwnershipType": "For-profit",
    "operator": "Proprietary",
    "directPeOwnership": "Not documented as direct PE ownership in this state-template pass",
    "peRelationship": "Watchlist signal",
    "careLevel": "Acute Care Hospitals",
    "currentCeo": "Needs source-backed local leader research",
    "bottomLine": "FRISBIE MEMORIAL HOSPITAL is shown with official-source baseline context for New Hampshire. Missing fields remain visible instead of being inferred."
  },
  "communityImpact": {
    "populationServedEstimate": 0,
    "populationServedLabel": "Needs system/facility catchment estimate",
    "estimateMethod": "Not estimated in this state-template completion pass",
    "catchmentDescription": "ROCHESTER, STRAFFORD, New Hampshire. Service role should be refined in manual follow-up.",
    "traumaCareLevel": "Acute Care Hospitals",
    "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed."
  },
  "qualityAndLaborContext": {
    "sourceId": "source-cms-care-compare",
    "cmsOverallRating": "3",
    "emergencyServices": "Yes",
    "hospitalType": "Acute Care Hospitals",
    "careCompareOwnership": "Proprietary",
    "note": "CMS Care Compare point-in-time identity/rating context captured for the state template. This is not a quality trend or ownership-causation claim.",
    "noCausationClaim": true
  }
}