{
  "schemaVersion": 4,
  "entityId": "340021",
  "canonicalName": "ATRIUM HEALTH CLEVELAND",
  "status": "corporate_chain",
  "statusLabel": "Corporate-chain ownership/accountability warning",
  "summary": "ATRIUM HEALTH CLEVELAND has a completed North Carolina 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": 9,
    "ownership_source_count": 18,
    "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"
  },
  "firstGlance": {
    "taxOwnershipType": "Government / public",
    "operator": "Atrium Health",
    "directPeOwnership": "Not documented as direct PE ownership in this state-template pass",
    "peRelationship": "No documented PE link in current baseline sources",
    "institutionalShareholderContext": "No public-company shareholder layer. Control context is nonprofit system governance through Advocate Health / Atrium Health.",
    "populationServedEstimate": 0,
    "populationServedLabel": "Needs system/facility catchment estimate",
    "careLevel": "Acute Care Hospitals",
    "currentCeo": "Eugene A. Woods",
    "previousRelevantCeo": "Not identified in this automated NC pass",
    "confidence": "medium",
    "bottomLine": "ATRIUM HEALTH CLEVELAND is connected to Atrium Health. No public-company shareholder layer. Control context is nonprofit system governance through Advocate Health / Atrium Health. Institutional shareholder names are context only and do not override facility-level ownership evidence."
  },
  "communityImpact": {
    "populationServedEstimate": 0,
    "populationServedLabel": "Needs system/facility catchment estimate",
    "estimateMethod": "Not estimated in automated NC pass",
    "catchmentDescription": "SHELBY, CLEVELAND, North Carolina. 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": {
    "immediateJeopardy2026SourceStatus": "Not specifically identified in this automated NC pass",
    "noCausationClaim": true,
    "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.",
    "sourceId": "source-cms-care-compare",
    "cmsOverallRating": "3",
    "emergencyServices": "Yes",
    "hospitalType": "Acute Care Hospitals",
    "careCompareOwnership": "Government - Hospital District or Authority"
  },
  "leadership": [
    {
      "name": "Eugene A. Woods",
      "role": "Advocate Health Chief Executive Officer",
      "context": "System-level accountability context for Atrium Health and Atrium Wake Forest Baptist records.",
      "imageUrl": "placeholder://official-image-unavailable",
      "imageAlt": "Eugene A. Woods official image",
      "imageStatus": "official page has an image, but direct image URL was not captured from the public HTML",
      "sourceId": "source-advocate-atrium-leadership"
    }
  ],
  "identifiers": {
    "ccn": "340021",
    "npi": "1669348991",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "ATRIUM HEALTH HOSPITALS INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "ATRIUM HEALTH CLEVELAND",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "ATRIUM HEALTH CLEVELAND",
        "alias_type": "cms_care_compare_name",
        "source_id": "source-cms-care-compare"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-legal-owner-340021",
      "from_entity_id": "atrium-health-hospitals-inc",
      "to_entity_id": "atrium-health-cleveland",
      "relationship_type": "controls",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "current",
      "confidence": "high",
      "source_ids": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue",
      "plain_english_summary": "ATRIUM HEALTH HOSPITALS INC is the best available legal-owner or enrolled-operator layer for ATRIUM HEALTH CLEVELAND.",
      "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context."
    },
    {
      "relationship_id": "rel-operator-340021",
      "from_entity_id": "atrium-health",
      "to_entity_id": "atrium-health-cleveland",
      "relationship_type": "operates",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "current",
      "confidence": "medium",
      "source_ids": "source-nc-baseline-queue|source-advocate-atrium-leadership",
      "plain_english_summary": "Atrium Health is shown as the operator or parent-system layer for this facility.",
      "review_notes": ""
    },
    {
      "relationship_id": "rel-ultimate-parent-340021",
      "from_entity_id": "advocate-health",
      "to_entity_id": "atrium-health",
      "relationship_type": "parent_company_or_controller",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "current",
      "confidence": "medium",
      "source_ids": "source-advocate-atrium-leadership|source-nc-baseline-queue",
      "plain_english_summary": "Advocate Health is the best available ultimate parent, sponsor, or controller context for Atrium Health.",
      "review_notes": ""
    },
    {
      "relationship_id": "rel-cms-owner-340021",
      "from_entity_id": "atriumhealth",
      "to_entity_id": "340021",
      "relationship_type": "cms_owner_context",
      "effective_date": "05/14/2025",
      "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-340021",
      "from_entity_id": "atriumhealth",
      "to_entity_id": "340021",
      "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-340021",
      "from_entity_id": "atriumhealth",
      "to_entity_id": "340021",
      "relationship_type": "cms_owner_context",
      "effective_date": "05/14/2025",
      "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-340021",
      "from_entity_id": "atriumhealth",
      "to_entity_id": "340021",
      "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-340021",
      "from_entity_id": "atriumhealth",
      "to_entity_id": "340021",
      "relationship_type": "cms_owner_context",
      "effective_date": "05/14/2025",
      "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": [],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "340021-net_patient_revenue-12-31-2023",
      "entity_id": "340021",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "348180255",
      "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": "340021-net_patient_revenue-12-31-2022",
      "entity_id": "340021",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "305791102",
      "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": "340021-net_patient_revenue-12-31-2021",
      "entity_id": "340021",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "326562232",
      "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": "340021-net_patient_revenue-12-31-2020",
      "entity_id": "340021",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "285389536",
      "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": "340021-operating_expense-12-31-2023",
      "entity_id": "340021",
      "metric_name": "operating_expense",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "305763949",
      "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": "340021-operating_expense-12-31-2022",
      "entity_id": "340021",
      "metric_name": "operating_expense",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "300216460",
      "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": "340021-operating_expense-12-31-2021",
      "entity_id": "340021",
      "metric_name": "operating_expense",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "284220660",
      "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": "340021-operating_expense-12-31-2020",
      "entity_id": "340021",
      "metric_name": "operating_expense",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "258610379",
      "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": "340021-net_income-12-31-2023",
      "entity_id": "340021",
      "metric_name": "net_income",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "47854197",
      "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": "340021-net_income-12-31-2022",
      "entity_id": "340021",
      "metric_name": "net_income",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "15835847",
      "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": "340021-net_income-12-31-2021",
      "entity_id": "340021",
      "metric_name": "net_income",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "86390679",
      "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": "340021-net_income-12-31-2020",
      "entity_id": "340021",
      "metric_name": "net_income",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "71376054",
      "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": "340021-total_assets-12-31-2023",
      "entity_id": "340021",
      "metric_name": "total_assets",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "731200670",
      "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": "340021-total_assets-12-31-2022",
      "entity_id": "340021",
      "metric_name": "total_assets",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "687832891",
      "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": "340021-total_assets-12-31-2021",
      "entity_id": "340021",
      "metric_name": "total_assets",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "670060589",
      "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": "340021-total_assets-12-31-2020",
      "entity_id": "340021",
      "metric_name": "total_assets",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "585732754",
      "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": "340021-total_liabilities-12-31-2023",
      "entity_id": "340021",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "8003793",
      "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": "340021-total_liabilities-12-31-2022",
      "entity_id": "340021",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "12490212",
      "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": "340021-total_liabilities-12-31-2021",
      "entity_id": "340021",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "10553756",
      "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": "340021-total_liabilities-12-31-2020",
      "entity_id": "340021",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "11217510",
      "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": "340021-contract_labor_direct_patient_care-12-31-2023",
      "entity_id": "340021",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "12822199",
      "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": "340021-contract_labor_direct_patient_care-12-31-2022",
      "entity_id": "340021",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "29217949",
      "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": "340021-contract_labor_direct_patient_care-12-31-2021",
      "entity_id": "340021",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "9433014",
      "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": "340021-contract_labor_direct_patient_care-12-31-2020",
      "entity_id": "340021",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "2185944",
      "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": "340021-fte_employees-12-31-2023",
      "entity_id": "340021",
      "metric_name": "fte_employees",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "1596.87",
      "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": "340021-fte_employees-12-31-2022",
      "entity_id": "340021",
      "metric_name": "fte_employees",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "1473.44",
      "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": "340021-fte_employees-12-31-2021",
      "entity_id": "340021",
      "metric_name": "fte_employees",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "1676.82",
      "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": "340021-fte_employees-12-31-2020",
      "entity_id": "340021",
      "metric_name": "fte_employees",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "1309.52",
      "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": "340021-beds-12-31-2023",
      "entity_id": "340021",
      "metric_name": "beds",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "308",
      "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": "340021-beds-12-31-2022",
      "entity_id": "340021",
      "metric_name": "beds",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "308",
      "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": "340021-beds-12-31-2021",
      "entity_id": "340021",
      "metric_name": "beds",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "308",
      "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": "340021-beds-12-31-2020",
      "entity_id": "340021",
      "metric_name": "beds",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "308",
      "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": "340021-patient_days-12-31-2023",
      "entity_id": "340021",
      "metric_name": "patient_days",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "65667",
      "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": "340021-patient_days-12-31-2022",
      "entity_id": "340021",
      "metric_name": "patient_days",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "70305",
      "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": "340021-patient_days-12-31-2021",
      "entity_id": "340021",
      "metric_name": "patient_days",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "65880",
      "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": "340021-patient_days-12-31-2020",
      "entity_id": "340021",
      "metric_name": "patient_days",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "53130",
      "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": "340021-discharges-12-31-2023",
      "entity_id": "340021",
      "metric_name": "discharges",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "13843",
      "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": "340021-discharges-12-31-2022",
      "entity_id": "340021",
      "metric_name": "discharges",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "13510",
      "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": "340021-discharges-12-31-2021",
      "entity_id": "340021",
      "metric_name": "discharges",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "13653",
      "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": "340021-discharges-12-31-2020",
      "entity_id": "340021",
      "metric_name": "discharges",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "11175",
      "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": "GARY GRAGG",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LUTHER LOCKWOOD",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID DANZIE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM CANNON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ANGELIQUE VINCENT-HAMACHER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARK REED",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRETT DENTON",
      "role": "CORPORATE OFFICER",
      "association_date": "03/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHARLES BOWMAN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KENNETH DAVIS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ADRIENNE PURDUE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LUTHER KISSAM",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SWATI DAJI",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "FELICIA ALLEN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "02/01/2026",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AMANDA HOUSER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARSHALL CARLSON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRADLEY CLARK",
      "role": "CORPORATE OFFICER",
      "association_date": "03/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRIAN FREEMAN",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "02/01/2026",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "NANCY GRITTER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HAL LEVINSON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ATRIUM HEALTH INC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "02/01/2026",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ADVOCATE HEALTH INC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "02/01/2026",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL RUCKER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TODD COLLINS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM NIBLOCK",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEVEN SMOOT",
      "role": "CORPORATE OFFICER",
      "association_date": "06/02/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CARL HERRING",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LUCIA GRIFFITH",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/14/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "ownershipChain": {
    "model": "Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "atrium-health-hospitals-inc",
        "label": "Atrium Health Hospitals Inc",
        "kind": "organization",
        "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue"
      },
      {
        "id": "atrium-health-cleveland",
        "label": "ATRIUM HEALTH CLEVELAND",
        "kind": "hospital",
        "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue"
      },
      {
        "id": "atrium-health",
        "label": "Atrium Health",
        "kind": "organization",
        "evidence": "source-nc-baseline-queue|source-advocate-atrium-leadership"
      },
      {
        "id": "advocate-health",
        "label": "Advocate Health",
        "kind": "organization",
        "evidence": "source-advocate-atrium-leadership|source-nc-baseline-queue"
      }
    ],
    "edges": [
      {
        "id": "rel-legal-owner-340021",
        "from": "atrium-health-hospitals-inc",
        "to": "atrium-health-cleveland",
        "relationship": "controls",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-enrollments",
          "source-cms-hospital-all-owners",
          "source-nc-baseline-queue"
        ],
        "note": "ATRIUM HEALTH HOSPITALS INC is the best available legal-owner or enrolled-operator layer for ATRIUM HEALTH CLEVELAND."
      },
      {
        "id": "rel-operator-340021",
        "from": "atrium-health",
        "to": "atrium-health-cleveland",
        "relationship": "operates",
        "confidence": "medium",
        "sourceIds": [
          "source-nc-baseline-queue",
          "source-advocate-atrium-leadership"
        ],
        "note": "Atrium Health is shown as the operator or parent-system layer for this facility."
      },
      {
        "id": "rel-ultimate-parent-340021",
        "from": "advocate-health",
        "to": "atrium-health",
        "relationship": "parent_company_or_controller",
        "confidence": "medium",
        "sourceIds": [
          "source-advocate-atrium-leadership",
          "source-nc-baseline-queue"
        ],
        "note": "Advocate Health is the best available ultimate parent, sponsor, or controller context for Atrium Health."
      }
    ],
    "caveats": [
      "Institutional shareholders such as Vanguard, BlackRock, and State Street are context nodes only; they are not hospital operators unless direct control evidence is found.",
      "CMS owner rows identify enrolled owner/control roles but may not name every ultimate financial sponsor.",
      "Sibling/system affiliation does not cause a facility to inherit another hospital’s red status."
    ]
  },
  "ownershipConnections": [
    {
      "entityName": "ATRIUM HEALTH HOSPITALS INC",
      "entityKind": "Facility legal owner / enrollment layer",
      "relationship": "legal owner or enrolled operator",
      "classification": "Legal-owner layer",
      "evidenceSourceIds": [
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-nc-baseline-queue"
      ],
      "note": "ATRIUM HEALTH HOSPITALS INC is shown separately from the parent system and ultimate financial/control context."
    },
    {
      "entityName": "Atrium Health",
      "entityKind": "Large nonprofit health system",
      "relationship": "nonprofit system operator",
      "classification": "Operator layer",
      "evidenceSourceIds": [
        "source-nc-baseline-queue",
        "source-advocate-atrium-leadership"
      ],
      "note": "This connection identifies the operating or system layer used for the public map and dossier."
    },
    {
      "entityName": "Advocate Health",
      "entityKind": "Ultimate parent or controller",
      "relationship": "ultimate parent / controller context",
      "classification": "Parent-company context",
      "evidenceSourceIds": [
        "source-advocate-atrium-leadership",
        "source-nc-baseline-queue"
      ],
      "note": "Advocate Health is shown as the upper control or sponsor context, while the facility-level legal-owner layer remains separate."
    },
    {
      "entityName": "Institutional shareholders / governance context",
      "entityKind": "Shareholder or governance context",
      "relationship": "context only, not hospital operation",
      "classification": "Shareholder context",
      "evidenceSourceIds": [
        "source-advocate-atrium-leadership"
      ],
      "note": "No public-company shareholder layer. Control context is nonprofit system governance through Advocate Health / Atrium Health."
    }
  ],
  "importantLinks": [
    {
      "label": "Hospitals RAPT",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "sourceId": "source-hifld-hospitals",
      "note": "Facility location and identity source; does not establish ownership or control."
    },
    {
      "label": "North Carolina hospital license data",
      "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
      "sourceId": "source-nc-dhsr-hospital-license-data",
      "note": "State-level hospital licensing context for North Carolina facilities."
    },
    {
      "label": "Hospital Enrollments",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "sourceId": "source-cms-hospital-enrollments",
      "note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching."
    },
    {
      "label": "Hospital All Owners",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "sourceId": "source-cms-hospital-all-owners",
      "note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows."
    },
    {
      "label": "Hospital General Information",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "sourceId": "source-cms-care-compare",
      "note": "Facility type, ownership category, emergency services, and overall rating context."
    },
    {
      "label": "Hospital Provider Cost Reports",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "sourceId": "source-cms-hcris",
      "note": "Financial, staffing, and utilization values; descriptive only and not causal evidence."
    },
    {
      "label": "Advocate Health leadership",
      "url": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "sourceId": "source-advocate-atrium-leadership",
      "note": "Official leadership page identifying Eugene A. Woods as chief executive officer."
    }
  ],
  "systemConnections": [
    {
      "systemName": "Atrium Health",
      "relationship": "shared North Carolina system / branch family",
      "evidenceSourceIds": [
        "source-nc-baseline-queue"
      ],
      "facilities": [
        {
          "name": "ATRIUM HEALTH ANSON",
          "role": "connected NC facility",
          "city": "WADESBORO",
          "state": "NC",
          "recordId": "340084",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "ATRIUM HEALTH CABARRUS",
          "role": "connected NC facility",
          "city": "CONCORD",
          "state": "NC",
          "recordId": "0004328025",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "ATRIUM HEALTH CLEVELAND",
          "role": "current record",
          "city": "SHELBY",
          "state": "NC",
          "recordId": "340021",
          "note": "This facility is the center of the dossier."
        },
        {
          "name": "ATRIUM HEALTH LINCOLN",
          "role": "connected NC facility",
          "city": "LINCOLNTON",
          "state": "NC",
          "recordId": "340145",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "ATRIUM HEALTH PINEVILLE",
          "role": "connected NC facility",
          "city": "CHARLOTTE",
          "state": "NC",
          "recordId": "340098",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "ATRIUM HEALTH STANLY",
          "role": "connected NC facility",
          "city": "ALBEMARLE",
          "state": "NC",
          "recordId": "0010428002",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "ATRIUM HEALTH UNION",
          "role": "connected NC facility",
          "city": "MONROE",
          "state": "NC",
          "recordId": "340130",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "ATRIUM HEALTH UNIVERSITY CITY",
          "role": "connected NC facility",
          "city": "CHARLOTTE",
          "state": "NC",
          "recordId": "340166",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE",
          "role": "connected NC facility",
          "city": "CHARLOTTE",
          "state": "NC",
          "recordId": "0196784165",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY",
          "role": "connected NC facility",
          "city": "CHARLOTTE",
          "state": "NC",
          "recordId": "0014728217",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS HEALTHCARE SYSTEM BLUE RIDGE",
          "role": "connected NC facility",
          "city": "MORGANTON",
          "state": "NC",
          "recordId": "0007228655",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS HEALTHCARE SYSTEM BLUE RIDGE - VALDESE",
          "role": "connected NC facility",
          "city": "VALDESE",
          "state": "NC",
          "recordId": "0011228690",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS MEDICAL CENTER - CENTER FOR MENTAL HEALTH",
          "role": "connected NC facility",
          "city": "CHARLOTTE",
          "state": "NC",
          "recordId": "0176828211",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS MEDICAL CENTER-MERCY",
          "role": "connected NC facility",
          "city": "CHARLOTTE",
          "state": "NC",
          "recordId": "0004228207",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS MEDICAL CENTER/CENTER FOR MENTAL HEALTH",
          "role": "connected NC facility",
          "city": "CHARLOTTE",
          "state": "NC",
          "recordId": "0196785351",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS REHABILITATION",
          "role": "connected NC facility",
          "city": "CHARLOTTE",
          "state": "NC",
          "recordId": "0004728203",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS REHABILITATION - NORTHEAST",
          "role": "connected NC facility",
          "city": "CONCORD",
          "state": "NC",
          "recordId": "0014528025",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAROLINAS REHABILITATION MT. HOLLY",
          "role": "connected NC facility",
          "city": "BELMONT",
          "state": "NC",
          "recordId": "0004828012",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        }
      ]
    }
  ],
  "directConnections": [
    "Legal/enrollment layer: ATRIUM HEALTH HOSPITALS INC.",
    "Operator layer: Atrium Health.",
    "Ultimate parent/controller context: Advocate Health.",
    "Shareholder/governance context: No public-company shareholder layer. Control context is nonprofit system governance through Advocate Health / Atrium Health.",
    "Operator/owner context: Atrium Health.",
    "CMS Care Compare ownership category: Government - Hospital District or Authority."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "This automated NC pass searched mandatory official/source systems and records missing items; it does not claim the entire internet was exhausted.",
    "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": [
    "official CEO image URL",
    "source-backed local CEO/current leader",
    "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-nc-baseline-queue",
      "title": "North Carolina baseline classification queue",
      "publisher": "PE Healthcare Watch",
      "publication_date": "2026-06-24",
      "retrieved_at": "2026-06-26",
      "url": "/data/releases/release-2026-06-24-nc-baseline.json",
      "reliability_tier": "research",
      "research_note": "Internal queue used to ensure every current NC map record receives a dossier package.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-nc-dhsr-hospital-license-data",
      "title": "North Carolina hospital license data",
      "publisher": "North Carolina Division of Health Service Regulation",
      "publication_date": "current public listing",
      "retrieved_at": "2026-06-26",
      "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
      "reliability_tier": "government",
      "research_note": "State-level hospital licensing context for North Carolina facilities.",
      "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-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-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-advocate-atrium-leadership",
      "title": "Advocate Health leadership",
      "publisher": "Advocate Health / Atrium Health",
      "publication_date": "current public page",
      "retrieved_at": "2026-06-26",
      "url": "https://atriumhealth.org/about-us/leadership/eugene-a-woods",
      "reliability_tier": "primary",
      "research_note": "Official leadership page identifying Eugene A. Woods as chief executive officer.",
      "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"
    }
  ],
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
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    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2020",
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    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
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    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
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    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 11217510,
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    },
    {
      "metric": "contract_labor_direct_patient_care",
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    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1309.52,
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      "percentChange": 21.943154743722886,
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    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 308,
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      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2020",
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    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2020",
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      "unit": "discharges"
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  ]
}
