{
  "schemaVersion": 4,
  "entityId": "344029",
  "canonicalName": "GOOD HOPE HOSPITAL, INC",
  "status": "corporate_chain",
  "statusLabel": "Corporate-chain ownership/accountability warning",
  "summary": "GOOD HOPE HOSPITAL, INC 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": "Cape Fear Valley 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 Cape Fear Valley governance and administration.",
    "populationServedEstimate": 0,
    "populationServedLabel": "Needs system/facility catchment estimate",
    "careLevel": "Psychiatric",
    "currentCeo": "Daniel Weatherly",
    "previousRelevantCeo": "Not identified in this automated NC pass",
    "confidence": "medium",
    "bottomLine": "GOOD HOPE HOSPITAL, INC is connected to Cape Fear Valley Health. No public-company shareholder layer. Control context is Cape Fear Valley governance and administration. 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": "ERWIN, HARNETT, North Carolina. Service role should be refined in manual follow-up.",
    "traumaCareLevel": "Psychiatric",
    "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": "Not Available",
    "emergencyServices": "No",
    "hospitalType": "Psychiatric",
    "careCompareOwnership": "Voluntary non-profit - Private"
  },
  "leadership": [
    {
      "name": "Daniel Weatherly",
      "role": "Cape Fear Valley Health Chief Executive Officer",
      "context": "Official administration page identifies Daniel Weatherly as CEO and president of Cape Fear Valley Medical Center.",
      "imageUrl": "placeholder://official-image-unavailable",
      "imageAlt": "Daniel Weatherly official image",
      "imageStatus": "official image unavailable in this automated NC pass",
      "sourceId": "source-cape-fear-valley-administration"
    }
  ],
  "identifiers": {
    "ccn": "344029",
    "npi": "1477812519",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "GOOD HOPE HOSPITAL INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "GOOD HOPE HOSPITAL, INC",
        "alias_type": "cms_care_compare_name",
        "source_id": "source-cms-care-compare"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-legal-owner-344029",
      "from_entity_id": "good-hope-hospital-inc",
      "to_entity_id": "good-hope-hospital-inc",
      "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": "GOOD HOPE HOSPITAL INC is the best available legal-owner or enrolled-operator layer for GOOD HOPE HOSPITAL, INC.",
      "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context."
    },
    {
      "relationship_id": "rel-operator-344029",
      "from_entity_id": "cape-fear-valley-health",
      "to_entity_id": "good-hope-hospital-inc",
      "relationship_type": "operates",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "current",
      "confidence": "medium",
      "source_ids": "source-nc-baseline-queue|source-cape-fear-valley-administration",
      "plain_english_summary": "Cape Fear Valley Health is shown as the operator or parent-system layer for this facility.",
      "review_notes": ""
    },
    {
      "relationship_id": "rel-cms-owner-344029",
      "from_entity_id": "capefearvalleyhealth",
      "to_entity_id": "344029",
      "relationship_type": "cms_owner_context",
      "effective_date": "05/01/2012",
      "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-344029",
      "from_entity_id": "capefearvalleyhealth",
      "to_entity_id": "344029",
      "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-344029",
      "from_entity_id": "capefearvalleyhealth",
      "to_entity_id": "344029",
      "relationship_type": "cms_owner_context",
      "effective_date": "05/01/2012",
      "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-344029",
      "from_entity_id": "capefearvalleyhealth",
      "to_entity_id": "344029",
      "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-344029",
      "from_entity_id": "capefearvalleyhealth",
      "to_entity_id": "344029",
      "relationship_type": "cms_owner_context",
      "effective_date": "05/01/2012",
      "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": "344029-net_patient_revenue-12-31-2023",
      "entity_id": "344029",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "2454742",
      "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": "344029-net_patient_revenue-12-31-2022",
      "entity_id": "344029",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "2288519",
      "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": "344029-net_patient_revenue-12-31-2021",
      "entity_id": "344029",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "2778366",
      "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": "344029-net_patient_revenue-12-31-2020",
      "entity_id": "344029",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "3331491",
      "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": "344029-operating_expense-12-31-2023",
      "entity_id": "344029",
      "metric_name": "operating_expense",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "3861958",
      "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": "344029-operating_expense-12-31-2022",
      "entity_id": "344029",
      "metric_name": "operating_expense",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "3720195",
      "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": "344029-operating_expense-12-31-2021",
      "entity_id": "344029",
      "metric_name": "operating_expense",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "3982761",
      "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": "344029-operating_expense-12-31-2020",
      "entity_id": "344029",
      "metric_name": "operating_expense",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "3845685",
      "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": "344029-net_income-12-31-2023",
      "entity_id": "344029",
      "metric_name": "net_income",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "-1457758",
      "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": "344029-net_income-12-31-2022",
      "entity_id": "344029",
      "metric_name": "net_income",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "-46524",
      "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": "344029-net_income-12-31-2021",
      "entity_id": "344029",
      "metric_name": "net_income",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "-373283",
      "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": "344029-net_income-12-31-2020",
      "entity_id": "344029",
      "metric_name": "net_income",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "2658921",
      "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": "344029-total_assets-12-31-2023",
      "entity_id": "344029",
      "metric_name": "total_assets",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "8041242",
      "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": "344029-total_assets-12-31-2022",
      "entity_id": "344029",
      "metric_name": "total_assets",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "6733447",
      "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": "344029-total_assets-12-31-2021",
      "entity_id": "344029",
      "metric_name": "total_assets",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "4040972",
      "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": "344029-total_assets-12-31-2020",
      "entity_id": "344029",
      "metric_name": "total_assets",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "4595626",
      "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": "344029-total_liabilities-12-31-2023",
      "entity_id": "344029",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "2901863",
      "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": "344029-total_liabilities-12-31-2022",
      "entity_id": "344029",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "2378282",
      "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": "344029-total_liabilities-12-31-2021",
      "entity_id": "344029",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "2197912",
      "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": "344029-total_liabilities-12-31-2020",
      "entity_id": "344029",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "2151415",
      "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": "344029-fte_employees-12-31-2023",
      "entity_id": "344029",
      "metric_name": "fte_employees",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "41.17",
      "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": "344029-fte_employees-12-31-2022",
      "entity_id": "344029",
      "metric_name": "fte_employees",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "35.72",
      "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": "344029-fte_employees-12-31-2021",
      "entity_id": "344029",
      "metric_name": "fte_employees",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "37.93",
      "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": "344029-fte_employees-12-31-2020",
      "entity_id": "344029",
      "metric_name": "fte_employees",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "37.07",
      "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": "344029-beds-12-31-2023",
      "entity_id": "344029",
      "metric_name": "beds",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "16",
      "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": "344029-beds-12-31-2022",
      "entity_id": "344029",
      "metric_name": "beds",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "16",
      "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": "344029-beds-12-31-2021",
      "entity_id": "344029",
      "metric_name": "beds",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "16",
      "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": "344029-beds-12-31-2020",
      "entity_id": "344029",
      "metric_name": "beds",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "16",
      "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": "344029-patient_days-12-31-2023",
      "entity_id": "344029",
      "metric_name": "patient_days",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "3363",
      "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": "344029-patient_days-12-31-2022",
      "entity_id": "344029",
      "metric_name": "patient_days",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "4469",
      "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": "344029-patient_days-12-31-2021",
      "entity_id": "344029",
      "metric_name": "patient_days",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "5005",
      "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": "344029-patient_days-12-31-2020",
      "entity_id": "344029",
      "metric_name": "patient_days",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "5125",
      "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": "344029-discharges-12-31-2023",
      "entity_id": "344029",
      "metric_name": "discharges",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "314",
      "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": "344029-discharges-12-31-2022",
      "entity_id": "344029",
      "metric_name": "discharges",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "388",
      "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": "344029-discharges-12-31-2021",
      "entity_id": "344029",
      "metric_name": "discharges",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "466",
      "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": "344029-discharges-12-31-2020",
      "entity_id": "344029",
      "metric_name": "discharges",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "477",
      "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": "SHERRIE BYRD",
      "role": "CORPORATE OFFICER",
      "association_date": "05/01/2012",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROBERT CAMERON",
      "role": "CORPORATE OFFICER",
      "association_date": "05/01/2012",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROBERT CAMERON",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "05/01/2012",
      "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": "good-hope-hospital-inc",
        "label": "GOOD HOPE HOSPITAL, INC",
        "kind": "organization",
        "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue"
      },
      {
        "id": "cape-fear-valley-health",
        "label": "Cape Fear Valley Health",
        "kind": "organization",
        "evidence": "source-nc-baseline-queue|source-cape-fear-valley-administration"
      }
    ],
    "edges": [
      {
        "id": "rel-legal-owner-344029",
        "from": "good-hope-hospital-inc",
        "to": "good-hope-hospital-inc",
        "relationship": "controls",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-enrollments",
          "source-cms-hospital-all-owners",
          "source-nc-baseline-queue"
        ],
        "note": "GOOD HOPE HOSPITAL INC is the best available legal-owner or enrolled-operator layer for GOOD HOPE HOSPITAL, INC."
      },
      {
        "id": "rel-operator-344029",
        "from": "cape-fear-valley-health",
        "to": "good-hope-hospital-inc",
        "relationship": "operates",
        "confidence": "medium",
        "sourceIds": [
          "source-nc-baseline-queue",
          "source-cape-fear-valley-administration"
        ],
        "note": "Cape Fear Valley 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": "GOOD HOPE HOSPITAL 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": "GOOD HOPE HOSPITAL INC is shown separately from the parent system and ultimate financial/control context."
    },
    {
      "entityName": "Cape Fear Valley Health",
      "entityKind": "Regional nonprofit/public-serving health system",
      "relationship": "health system operator",
      "classification": "Operator layer",
      "evidenceSourceIds": [
        "source-nc-baseline-queue",
        "source-cape-fear-valley-administration"
      ],
      "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-cape-fear-valley-administration"
      ],
      "note": "No public-company shareholder layer. Control context is Cape Fear Valley governance and administration."
    }
  ],
  "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": "Cape Fear Valley Health administration",
      "url": "https://www.capefearvalley.com/administration",
      "sourceId": "source-cape-fear-valley-administration",
      "note": "Official administration page identifying Daniel Weatherly as CEO in 2026."
    }
  ],
  "systemConnections": [
    {
      "systemName": "Cape Fear Valley Health",
      "relationship": "shared North Carolina system / branch family",
      "evidenceSourceIds": [
        "source-nc-baseline-queue"
      ],
      "facilities": [
        {
          "name": "BETSY JOHNSON HOSPITAL",
          "role": "connected NC facility",
          "city": "DUNN",
          "state": "NC",
          "recordId": "0003328335",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAPE FEAR VALLEY - BLADEN COUNTY HOSPITAL",
          "role": "connected NC facility",
          "city": "ELIZABETHTOWN",
          "state": "NC",
          "recordId": "341315",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAPE FEAR VALLEY HOKE HOSPITAL",
          "role": "connected NC facility",
          "city": "RAEFORD",
          "state": "NC",
          "recordId": "340188",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "CAPE FEAR VALLEY MEDICAL CENTER",
          "role": "connected NC facility",
          "city": "FAYETTEVILLE",
          "state": "NC",
          "recordId": "340028",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "GOOD HOPE HOSPITAL, INC",
          "role": "current record",
          "city": "ERWIN",
          "state": "NC",
          "recordId": "344029",
          "note": "This facility is the center of the dossier."
        },
        {
          "name": "HIGHSMITH - RAINEY SPECIALTY HOSPITAL",
          "role": "connected NC facility",
          "city": "FAYETTEVILLE",
          "state": "NC",
          "recordId": "0008028301",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        }
      ]
    }
  ],
  "directConnections": [
    "Legal/enrollment layer: GOOD HOPE HOSPITAL INC.",
    "Operator layer: Cape Fear Valley Health.",
    "Ultimate parent/controller context: Cape Fear Valley Health.",
    "Shareholder/governance context: No public-company shareholder layer. Control context is Cape Fear Valley governance and administration.",
    "Operator/owner context: Cape Fear Valley 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-cape-fear-valley-administration",
      "title": "Cape Fear Valley Health administration",
      "publisher": "Cape Fear Valley Health",
      "publication_date": "current public page",
      "retrieved_at": "2026-06-26",
      "url": "https://www.capefearvalley.com/administration",
      "reliability_tier": "primary",
      "research_note": "Official administration page identifying Daniel Weatherly as CEO in 2026.",
      "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",
      "earliestValue": 3331491,
      "latestValue": 2454742,
      "absoluteChange": -876749,
      "percentChange": -26.317015414419547,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 3845685,
      "latestValue": 3861958,
      "absoluteChange": 16273,
      "percentChange": 0.4231495819340378,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 2658921,
      "latestValue": -1457758,
      "absoluteChange": -4116679,
      "percentChange": -154.82517156395394,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 4595626,
      "latestValue": 8041242,
      "absoluteChange": 3445616,
      "percentChange": 74.9759880373207,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 2151415,
      "latestValue": 2901863,
      "absoluteChange": 750448,
      "percentChange": 34.8816011787591,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 37.07,
      "latestValue": 41.17,
      "absoluteChange": 4.100000000000001,
      "percentChange": 11.060156460749937,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 16,
      "latestValue": 16,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 5125,
      "latestValue": 3363,
      "absoluteChange": -1762,
      "percentChange": -34.380487804878044,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 477,
      "latestValue": 314,
      "absoluteChange": -163,
      "percentChange": -34.17190775681342,
      "unit": "discharges"
    }
  ]
}
