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  "status": "signal",
  "statusLabel": "Documented investment signal",
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    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
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    },
    {
      "organization": "DONALD ZUCKER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "04/23/2015",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BARRY RUBENSTEIN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "04/23/2015",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "NORTHWELL HEALTH INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "01/01/2015",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL EPSTEIN",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARK GLOADE",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2015",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EUGENE TANGNEY",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2015",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DONNA DRUMMOND",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2015",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSEPH MOSCOLA",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL DOWLING",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/27/2005",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL DOWLING",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "04/23/2015",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL DOWLING",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "05/23/2005",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LAURENCE KRAEMER",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KONSTANTINE COSTALAS",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RALPH NAPPI",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2015",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHELE CUSACK",
      "role": "CORPORATE OFFICER",
      "association_date": "09/12/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHELE CUSACK",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "09/12/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: Northwell Health."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date",
    "Official facility URL"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:330195",
        "label": "LONG ISLAND JEWISH MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:northwell-healthcare-inc",
        "label": "NORTHWELL HEALTHCARE INC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:william-mack:0",
        "label": "WILLIAM MACK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:margaret-crotty:1",
        "label": "MARGARET CROTTY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:northwell-inc:2",
        "label": "NORTHWELL, INC.",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:harry-gindi:3",
        "label": "HARRY GINDI",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:richard-miller:4",
        "label": "RICHARD MILLER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:jeffrey-kraut:5",
        "label": "JEFFREY KRAUT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:robert-rosenthal:6",
        "label": "ROBERT ROSENTHAL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:mark-claster:7",
        "label": "MARK CLASTER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:mark-solazzo:8",
        "label": "MARK SOLAZZO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:mark-solazzo:9",
        "label": "MARK SOLAZZO",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:richard-goldstein:10",
        "label": "RICHARD GOLDSTEIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:northwell-healthcare-inc:11",
        "label": "NORTHWELL HEALTHCARE INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:northwell-healthcare-inc:12",
        "label": "NORTHWELL HEALTHCARE INC",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:david-battinelli:13",
        "label": "DAVID BATTINELLI",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:kathleen-gallo:14",
        "label": "KATHLEEN GALLO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:donald-zucker:15",
        "label": "DONALD ZUCKER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:northwell-healthcare-inc->facility:330195",
        "from": "organization:northwell-healthcare-inc",
        "to": "facility:330195",
        "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:william-mack:0->facility:330195",
        "from": "cms-owner:william-mack:0",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/23/2015"
      },
      {
        "id": "cms-owner:margaret-crotty:1->facility:330195",
        "from": "cms-owner:margaret-crotty:1",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2021"
      },
      {
        "id": "cms-owner:northwell-inc:2->facility:330195",
        "from": "cms-owner:northwell-inc:2",
        "to": "facility:330195",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/01/2024"
      },
      {
        "id": "cms-owner:harry-gindi:3->facility:330195",
        "from": "cms-owner:harry-gindi:3",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2015"
      },
      {
        "id": "cms-owner:richard-miller:4->facility:330195",
        "from": "cms-owner:richard-miller:4",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/01/2017"
      },
      {
        "id": "cms-owner:jeffrey-kraut:5->facility:330195",
        "from": "cms-owner:jeffrey-kraut:5",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2015"
      },
      {
        "id": "cms-owner:robert-rosenthal:6->facility:330195",
        "from": "cms-owner:robert-rosenthal:6",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2021"
      },
      {
        "id": "cms-owner:mark-claster:7->facility:330195",
        "from": "cms-owner:mark-claster:7",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/23/2015"
      },
      {
        "id": "cms-owner:mark-solazzo:8->facility:330195",
        "from": "cms-owner:mark-solazzo:8",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/23/2015"
      },
      {
        "id": "cms-owner:mark-solazzo:9->facility:330195",
        "from": "cms-owner:mark-solazzo:9",
        "to": "facility:330195",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 04/23/2015"
      },
      {
        "id": "cms-owner:richard-goldstein:10->facility:330195",
        "from": "cms-owner:richard-goldstein:10",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/23/2015"
      },
      {
        "id": "cms-owner:northwell-healthcare-inc:11->facility:330195",
        "from": "cms-owner:northwell-healthcare-inc:11",
        "to": "facility:330195",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 01/01/2017"
      },
      {
        "id": "cms-owner:northwell-healthcare-inc:12->facility:330195",
        "from": "cms-owner:northwell-healthcare-inc:12",
        "to": "facility:330195",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 01/01/2017"
      },
      {
        "id": "cms-owner:david-battinelli:13->facility:330195",
        "from": "cms-owner:david-battinelli:13",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2021"
      },
      {
        "id": "cms-owner:kathleen-gallo:14->facility:330195",
        "from": "cms-owner:kathleen-gallo:14",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2015"
      },
      {
        "id": "cms-owner:donald-zucker:15->facility:330195",
        "from": "cms-owner:donald-zucker:15",
        "to": "facility:330195",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/23/2015"
      }
    ],
    "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": 2779127567,
      "latestValue": 3149711501,
      "absoluteChange": 370583934,
      "percentChange": 13.334542048389533,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 3442218284,
      "latestValue": 4003637074,
      "absoluteChange": 561418790,
      "percentChange": 16.30979629065267,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 175171370,
      "latestValue": 261420592,
      "absoluteChange": 86249222,
      "percentChange": 49.23705397748502,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 3814565000,
      "latestValue": 3835691000,
      "absoluteChange": 21126000,
      "percentChange": 0.553824616961567,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 2637801000,
      "latestValue": 2534219000,
      "absoluteChange": -103582000,
      "percentChange": -3.9268314781895985,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 4615636,
      "latestValue": 2368426,
      "absoluteChange": -2247210,
      "percentChange": -48.68689818694541,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 14105,
      "latestValue": 15303.9,
      "absoluteChange": 1198.8999999999996,
      "percentChange": 8.499822757887271,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1166,
      "latestValue": 1153,
      "absoluteChange": -13,
      "percentChange": -1.1149228130360207,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 379541,
      "latestValue": 381737,
      "absoluteChange": 2196,
      "percentChange": 0.5785936170268824,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 71270,
      "latestValue": 74781,
      "absoluteChange": 3511,
      "percentChange": 4.926336466956644,
      "unit": "discharges"
    }
  ]
}
