{ "schemaVersion": 4, "entityId": "340070", "canonicalName": "ALAMANCE REGIONAL MEDICAL CENTER", "status": "corporate_chain", "statusLabel": "Corporate-chain ownership/accountability warning", "summary": "ALAMANCE REGIONAL MEDICAL CENTER 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": 16, "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": "Nonprofit", "operator": "Cone 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.", "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "careLevel": "Acute Care Hospitals", "currentCeo": "Paul Krakovitz, MD, FACS", "previousRelevantCeo": "Not identified in this automated NC pass", "confidence": "medium", "bottomLine": "ALAMANCE REGIONAL MEDICAL CENTER is connected to Cone Health. No public-company shareholder layer. Control context is nonprofit system governance. 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": "BURLINGTON, ALAMANCE, 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": "Voluntary non-profit - Private" }, "leadership": [ { "name": "Paul Krakovitz, MD, FACS", "role": "Cone Health Chief Executive Officer", "context": "Official Cone Health leadership source identifies Paul Krakovitz as CEO.", "imageUrl": "placeholder://official-image-unavailable", "imageAlt": "Paul Krakovitz, MD, FACS official image", "imageStatus": "official page has an image, but direct image URL was not captured from the public HTML", "sourceId": "source-cone-health-leadership" } ], "identifiers": { "ccn": "340070", "npi": "1326010273", "historicalCcns": [], "aliases": [ { "alias": "ALAMANCE REGIONAL MEDICAL CENTER INC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "ALAMANCE REGIONAL MEDICAL CENTER", "alias_type": "cms_care_compare_name", "source_id": "source-cms-care-compare" } ] }, "ownershipHistory": [ { "relationship_id": "rel-legal-owner-340070", "from_entity_id": "alamance-regional-medical-center-inc", "to_entity_id": "alamance-regional-medical-center", "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": "ALAMANCE REGIONAL MEDICAL CENTER INC is the best available legal-owner or enrolled-operator layer for ALAMANCE REGIONAL MEDICAL CENTER.", "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context." }, { "relationship_id": "rel-operator-340070", "from_entity_id": "cone-health", "to_entity_id": "alamance-regional-medical-center", "relationship_type": "operates", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-nc-baseline-queue|source-cone-health-leadership", "plain_english_summary": "Cone Health is shown as the operator or parent-system layer for this facility.", "review_notes": "" }, { "relationship_id": "rel-cms-owner-340070", "from_entity_id": "conehealth", "to_entity_id": "340070", "relationship_type": "cms_owner_context", "effective_date": "02/01/2021", "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-340070", "from_entity_id": "conehealth", "to_entity_id": "340070", "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-340070", "from_entity_id": "conehealth", "to_entity_id": "340070", "relationship_type": "cms_owner_context", "effective_date": "02/01/2021", "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-340070", "from_entity_id": "conehealth", "to_entity_id": "340070", "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-340070", "from_entity_id": "conehealth", "to_entity_id": "340070", "relationship_type": "cms_owner_context", "effective_date": "02/01/2021", "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": "340070-net_patient_revenue-09-30-2023", "entity_id": "340070", "metric_name": "net_patient_revenue", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "284333872", "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": "340070-net_patient_revenue-09-30-2022", "entity_id": "340070", "metric_name": "net_patient_revenue", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "286229240", "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": "340070-net_patient_revenue-09-30-2021", "entity_id": "340070", "metric_name": "net_patient_revenue", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "279297117", "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": "340070-net_patient_revenue-09-30-2020", "entity_id": "340070", "metric_name": "net_patient_revenue", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "303669080", "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": "340070-operating_expense-09-30-2023", "entity_id": "340070", "metric_name": "operating_expense", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "262201680", "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": "340070-operating_expense-09-30-2022", "entity_id": "340070", "metric_name": "operating_expense", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "272478324", "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": "340070-operating_expense-09-30-2021", "entity_id": "340070", "metric_name": "operating_expense", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "236101351", "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": "340070-operating_expense-09-30-2020", "entity_id": "340070", "metric_name": "operating_expense", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "218171728", "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": "340070-net_income-09-30-2023", "entity_id": "340070", "metric_name": "net_income", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "31021425", "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": "340070-net_income-09-30-2022", "entity_id": "340070", "metric_name": "net_income", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "23953724", "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": "340070-net_income-09-30-2021", "entity_id": "340070", "metric_name": "net_income", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "54685770", "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": "340070-net_income-09-30-2020", "entity_id": "340070", "metric_name": "net_income", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "101322751", "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": "340070-total_assets-09-30-2023", "entity_id": "340070", "metric_name": "total_assets", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "703760249", "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": "340070-total_assets-09-30-2022", "entity_id": "340070", "metric_name": "total_assets", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "672223956", "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": "340070-total_assets-09-30-2021", "entity_id": "340070", "metric_name": "total_assets", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "665969044", "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": "340070-total_assets-09-30-2020", "entity_id": "340070", "metric_name": "total_assets", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "615108915", "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": "340070-total_liabilities-09-30-2023", "entity_id": "340070", "metric_name": "total_liabilities", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "38975211", "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": "340070-total_liabilities-09-30-2022", "entity_id": "340070", "metric_name": "total_liabilities", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "38460343", "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": "340070-total_liabilities-09-30-2021", "entity_id": "340070", "metric_name": "total_liabilities", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "56159161", "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": "340070-total_liabilities-09-30-2020", "entity_id": "340070", "metric_name": "total_liabilities", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "59968068", "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": "340070-contract_labor_direct_patient_care-09-30-2023", "entity_id": "340070", "metric_name": "contract_labor_direct_patient_care", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "17385818", "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": "340070-contract_labor_direct_patient_care-09-30-2022", "entity_id": "340070", "metric_name": "contract_labor_direct_patient_care", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "30204996", "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": "340070-contract_labor_direct_patient_care-09-30-2021", "entity_id": "340070", "metric_name": "contract_labor_direct_patient_care", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "8160400", "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": "340070-contract_labor_direct_patient_care-09-30-2020", "entity_id": "340070", "metric_name": "contract_labor_direct_patient_care", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "996824", "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": "340070-fte_employees-09-30-2023", "entity_id": "340070", "metric_name": "fte_employees", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "1189.82", "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": "340070-fte_employees-09-30-2022", "entity_id": "340070", "metric_name": "fte_employees", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "1306.29", "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": "340070-fte_employees-09-30-2021", "entity_id": "340070", "metric_name": "fte_employees", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "1306.29", "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": "340070-fte_employees-09-30-2020", "entity_id": "340070", "metric_name": "fte_employees", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "1271.31", "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": "340070-beds-09-30-2023", "entity_id": "340070", "metric_name": "beds", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "176", "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": "340070-beds-09-30-2022", "entity_id": "340070", "metric_name": "beds", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "176", "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": "340070-beds-09-30-2021", "entity_id": "340070", "metric_name": "beds", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "176", "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": "340070-beds-09-30-2020", "entity_id": "340070", "metric_name": "beds", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "176", "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": "340070-patient_days-09-30-2023", "entity_id": "340070", "metric_name": "patient_days", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "48162", "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": "340070-patient_days-09-30-2022", "entity_id": "340070", "metric_name": "patient_days", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "48852", "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": "340070-patient_days-09-30-2021", "entity_id": "340070", "metric_name": "patient_days", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "45953", "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": "340070-patient_days-09-30-2020", "entity_id": "340070", "metric_name": "patient_days", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "40250", "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": "340070-discharges-09-30-2023", "entity_id": "340070", "metric_name": "discharges", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "10864", "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": "340070-discharges-09-30-2022", "entity_id": "340070", "metric_name": "discharges", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "10095", "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": "340070-discharges-09-30-2021", "entity_id": "340070", "metric_name": "discharges", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "11638", "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": "340070-discharges-09-30-2020", "entity_id": "340070", "metric_name": "discharges", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "10579", "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": "ANDREW BARROW", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "02/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "TIMOTHY CLONTZ", "role": "W-2 MANAGING EMPLOYEE", "association_date": "10/01/1997", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DWIGHT DAVIDSON", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2013", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARY CAGLE", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "05/01/2013", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "THE MOSES H. CONE MEMORIAL HOSPITAL", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/01/2013", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN MILLER", "role": "W-2 MANAGING EMPLOYEE", "association_date": "01/31/2011", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ALAMANCE REGIONAL MEDICAL CENTER INC", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "05/01/2013", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "TERRENCE AKIN", "role": "CORPORATE OFFICER", "association_date": "07/20/2009", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "FLAVIUS HORNADAY", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2013", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROBERT CARTER", "role": "W-2 MANAGING EMPLOYEE", "association_date": "10/01/2015", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAMES ROSKELLY", "role": "W-2 MANAGING EMPLOYEE", "association_date": "09/01/1986", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MEHEE HAYWOOD", "role": "W-2 MANAGING EMPLOYEE", "association_date": "10/01/2015", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DAVID KITZMILLER", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "11/09/2002", "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": "alamance-regional-medical-center-inc", "label": "Alamance Regional Medical Center Inc", "kind": "organization", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "alamance-regional-medical-center", "label": "ALAMANCE REGIONAL MEDICAL CENTER", "kind": "hospital", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "cone-health", "label": "Cone Health", "kind": "organization", "evidence": "source-nc-baseline-queue|source-cone-health-leadership" } ], "edges": [ { "id": "rel-legal-owner-340070", "from": "alamance-regional-medical-center-inc", "to": "alamance-regional-medical-center", "relationship": "controls", "confidence": "high", "sourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "ALAMANCE REGIONAL MEDICAL CENTER INC is the best available legal-owner or enrolled-operator layer for ALAMANCE REGIONAL MEDICAL CENTER." }, { "id": "rel-operator-340070", "from": "cone-health", "to": "alamance-regional-medical-center", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-nc-baseline-queue", "source-cone-health-leadership" ], "note": "Cone Health is shown as the operator or parent-system layer for this facility." } ], "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": "ALAMANCE REGIONAL MEDICAL CENTER 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": "ALAMANCE REGIONAL MEDICAL CENTER INC is shown separately from the parent system and ultimate financial/control context." }, { "entityName": "Cone Health", "entityKind": "Nonprofit health system", "relationship": "nonprofit system operator", "classification": "Operator layer", "evidenceSourceIds": [ "source-nc-baseline-queue", "source-cone-health-leadership" ], "note": "This connection identifies the operating or system layer used for the public map and dossier." }, { "entityName": "Institutional shareholders / governance context", "entityKind": "Shareholder or governance context", "relationship": "context only, not hospital operation", "classification": "Shareholder context", "evidenceSourceIds": [ "source-cone-health-leadership" ], "note": "No public-company shareholder layer. Control context is nonprofit system governance." } ], "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": "Cone Health leadership", "url": "https://www.conehealth.com/about-us/leadership/", "sourceId": "source-cone-health-leadership", "note": "Official Cone Health leadership page identifying Paul Krakovitz, MD, FACS, as CEO." } ], "systemConnections": [ { "systemName": "Cone Health", "relationship": "shared North Carolina system / branch family", "evidenceSourceIds": [ "source-nc-baseline-queue" ], "facilities": [ { "name": "ALAMANCE REGIONAL MEDICAL CENTER", "role": "current record", "city": "BURLINGTON", "state": "NC", "recordId": "340070", "note": "This facility is the center of the dossier." }, { "name": "ANNIE PENN HOSPITAL", "role": "connected NC facility", "city": "REIDSVILLE", "state": "NC", "recordId": "0002727320", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "BEHAVIORAL HEALTH HOSPITAL", "role": "connected NC facility", "city": "GREENSBORO", "state": "NC", "recordId": "0176627403", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "CONE HEALTH", "role": "connected NC facility", "city": "GREENSBORO", "state": "NC", "recordId": "0000827401", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "RANDOLPH HOSPITAL, INC", "role": "connected NC facility", "city": "ASHEBORO", "state": "NC", "recordId": "340123", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "WESLEY LONG COMMUNITY HOSPITAL", "role": "connected NC facility", "city": "GREENSBORO", "state": "NC", "recordId": "0012227403", "note": "Connected by shared parent/operator/system field; status remains facility-specific." } ] } ], "directConnections": [ "Legal/enrollment layer: ALAMANCE REGIONAL MEDICAL CENTER INC.", "Operator layer: Cone Health.", "Ultimate parent/controller context: Cone Health.", "Shareholder/governance context: No public-company shareholder layer. Control context is nonprofit system governance.", "Operator/owner context: Cone Health.", "CMS Care Compare ownership category: Voluntary non-profit - Private." ], "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-cone-health-leadership", "title": "Cone Health leadership", "publisher": "Cone Health", "publication_date": "current public page", "retrieved_at": "2026-06-26", "url": "https://www.conehealth.com/about-us/leadership/", "reliability_tier": "primary", "research_note": "Official Cone Health leadership page identifying Paul Krakovitz, MD, FACS, as CEO.", "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": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 303669080, "latestValue": 284333872, "absoluteChange": -19335208, "percentChange": -6.367196818326054, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 218171728, "latestValue": 262201680, "absoluteChange": 44029952, "percentChange": 20.181327985814917, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 101322751, "latestValue": 31021425, "absoluteChange": -70301326, "percentChange": -69.38355434111733, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 615108915, "latestValue": 703760249, "absoluteChange": 88651334, "percentChange": 14.412298673967358, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 59968068, "latestValue": 38975211, "absoluteChange": -20992857, "percentChange": -35.00672557935333, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 996824, "latestValue": 17385818, "absoluteChange": 16388994, "percentChange": 1644.1211287047665, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 1271.31, "latestValue": 1189.82, "absoluteChange": -81.49000000000001, "percentChange": -6.4099236220906, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 176, "latestValue": 176, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 40250, "latestValue": 48162, "absoluteChange": 7912, "percentChange": 19.657142857142855, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 10579, "latestValue": 10864, "absoluteChange": 285, "percentChange": 2.694016447679365, "unit": "discharges" } ] }