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  "schemaVersion": 3,
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  "canonicalName": "BROOKDALE HOSPITAL MEDICAL CENTER",
  "status": "signal",
  "statusLabel": "Documented investment signal",
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  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
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    "npi": "1346380870",
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      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
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      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
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      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL NAIRNE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/07/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LARAY BROWN",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2021",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LARAY BROWN",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/01/2021",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LARAY BROWN",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "01/01/2021",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EDNA WELLS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/07/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL IRWIN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "03/26/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ONE BROOKLYN HEALTH SYSTEM, INC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "04/12/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DOLLYANN YORKE",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/01/2021",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SOFIA NOVAK",
      "role": "CORPORATE DIRECTOR",
      "association_date": "08/23/2018",
      "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:330233",
        "label": "BROOKDALE HOSPITAL MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:one-brooklyn-health-system-inc",
        "label": "ONE BROOKLYN HEALTH SYSTEM, INC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:hugh-nelson:0",
        "label": "HUGH NELSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:henna-white:1",
        "label": "HENNA WHITE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:alexander-rovt:2",
        "label": "ALEXANDER ROVT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:mark-shelton:3",
        "label": "MARK SHELTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:michael-scagnelli:4",
        "label": "MICHAEL SCAGNELLI",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:richard-green:5",
        "label": "RICHARD GREEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:joseph-ciuffo:6",
        "label": "JOSEPH CIUFFO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:nusin-shtern:7",
        "label": "NUSIN SHTERN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:michelle-figueroa:8",
        "label": "MICHELLE FIGUEROA",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:michelle-figueroa:9",
        "label": "MICHELLE FIGUEROA",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:robert-waterman:10",
        "label": "ROBERT WATERMAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:aryeh-katzin:11",
        "label": "ARYEH KATZIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:maurice-reid:12",
        "label": "MAURICE REID",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:victor-ayala:13",
        "label": "VICTOR AYALA",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:reginald-bullock:14",
        "label": "REGINALD BULLOCK",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:hope-mason:15",
        "label": "HOPE MASON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:one-brooklyn-health-system-inc->facility:330233",
        "from": "organization:one-brooklyn-health-system-inc",
        "to": "facility:330233",
        "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:hugh-nelson:0->facility:330233",
        "from": "cms-owner:hugh-nelson:0",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/26/2018"
      },
      {
        "id": "cms-owner:henna-white:1->facility:330233",
        "from": "cms-owner:henna-white:1",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/26/2018"
      },
      {
        "id": "cms-owner:alexander-rovt:2->facility:330233",
        "from": "cms-owner:alexander-rovt:2",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/26/2018"
      },
      {
        "id": "cms-owner:mark-shelton:3->facility:330233",
        "from": "cms-owner:mark-shelton:3",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/26/2018"
      },
      {
        "id": "cms-owner:michael-scagnelli:4->facility:330233",
        "from": "cms-owner:michael-scagnelli:4",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/26/2018"
      },
      {
        "id": "cms-owner:richard-green:5->facility:330233",
        "from": "cms-owner:richard-green:5",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/07/2018"
      },
      {
        "id": "cms-owner:joseph-ciuffo:6->facility:330233",
        "from": "cms-owner:joseph-ciuffo:6",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/23/2018"
      },
      {
        "id": "cms-owner:nusin-shtern:7->facility:330233",
        "from": "cms-owner:nusin-shtern:7",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/07/2018"
      },
      {
        "id": "cms-owner:michelle-figueroa:8->facility:330233",
        "from": "cms-owner:michelle-figueroa:8",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 07/10/2023"
      },
      {
        "id": "cms-owner:michelle-figueroa:9->facility:330233",
        "from": "cms-owner:michelle-figueroa:9",
        "to": "facility:330233",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/10/2023"
      },
      {
        "id": "cms-owner:robert-waterman:10->facility:330233",
        "from": "cms-owner:robert-waterman:10",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/26/2018"
      },
      {
        "id": "cms-owner:aryeh-katzin:11->facility:330233",
        "from": "cms-owner:aryeh-katzin:11",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/07/2018"
      },
      {
        "id": "cms-owner:maurice-reid:12->facility:330233",
        "from": "cms-owner:maurice-reid:12",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/07/2018"
      },
      {
        "id": "cms-owner:victor-ayala:13->facility:330233",
        "from": "cms-owner:victor-ayala:13",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/26/2018"
      },
      {
        "id": "cms-owner:reginald-bullock:14->facility:330233",
        "from": "cms-owner:reginald-bullock:14",
        "to": "facility:330233",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 05/18/2014"
      },
      {
        "id": "cms-owner:hope-mason:15->facility:330233",
        "from": "cms-owner:hope-mason:15",
        "to": "facility:330233",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/26/2018"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 627967105,
      "latestValue": 706667275,
      "absoluteChange": 78700170,
      "percentChange": 12.532530664962142,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1230706900,
      "latestValue": 1288912321,
      "absoluteChange": 58205421,
      "percentChange": 4.729429972319161,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": -56592665,
      "latestValue": -94934573,
      "absoluteChange": -38341908,
      "percentChange": -67.75066698131286,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 615022596,
      "latestValue": 1128478406,
      "absoluteChange": 513455810,
      "percentChange": 83.48568220735747,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1275234548,
      "latestValue": 1767920011,
      "absoluteChange": 492685463,
      "percentChange": 38.634889854003546,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 54124331,
      "latestValue": 55576488,
      "absoluteChange": 1452157,
      "percentChange": 2.683002215768727,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 5533.7,
      "latestValue": 5026.36,
      "absoluteChange": -507.34000000000015,
      "percentChange": -9.168187650215954,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 584,
      "latestValue": 450,
      "absoluteChange": -134,
      "percentChange": -22.945205479452056,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 152441,
      "latestValue": 126659,
      "absoluteChange": -25782,
      "percentChange": -16.91277281046438,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 21788,
      "latestValue": 19115,
      "absoluteChange": -2673,
      "percentChange": -12.268221039104093,
      "unit": "discharges"
    }
  ]
}
