{
  "schemaVersion": 3,
  "entityId": "390086",
  "canonicalName": "PENN HIGHLANDS DUBOIS",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "PENN HIGHLANDS DUBOIS appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
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    "npi": "1144249657",
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        "alias": "DUBOIS REGIONAL MEDICAL CENTER",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "PENN HIGHLANDS DUBOIS",
        "alias_type": "cms_dba",
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      "to_entity_id": "390086",
      "relationship_type": "venture_backing",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "Phhealthcare is reported as an investment backer; this is not treated as a completed ownership claim.",
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    }
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      "association_date": "07/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SCOTT FORADORA",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARK NORMAN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARK NORMAN",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM YOUNG",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARK MCGINLEY",
      "role": "CORPORATE OFFICER",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JAMES RYAN",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOHN SUTIKA",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRIAN KLINE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRIAN KLINE",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEVEN FONTAINE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: Phhealthcare."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:390086",
        "label": "PENN HIGHLANDS DUBOIS",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:penn-highlands-healthcare-inc",
        "label": "PENN HIGHLANDS HEALTHCARE, INC.",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:douglas-winner:0",
        "label": "DOUGLAS WINNER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jourdan-strishock:1",
        "label": "JOURDAN STRISHOCK",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:russell-cameron:2",
        "label": "RUSSELL CAMERON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:penn-highlands-healthcare-inc:3",
        "label": "PENN HIGHLANDS HEALTHCARE, INC.",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:penn-highlands-healthcare-inc:4",
        "label": "PENN HIGHLANDS HEALTHCARE, INC.",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:robert-o-leary:5",
        "label": "ROBERT O'LEARY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:trina-johnson:6",
        "label": "TRINA JOHNSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:edward-yahner:7",
        "label": "EDWARD YAHNER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:joanne-ryan:8",
        "label": "JOANNE RYAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:david-lezzer:9",
        "label": "DAVID LEZZER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:james-devlin:10",
        "label": "JAMES DEVLIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:carlyn-belczyk:11",
        "label": "CARLYN BELCZYK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:samuel-lewis:12",
        "label": "SAMUEL LEWIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:richard-pfingstler:13",
        "label": "RICHARD PFINGSTLER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:donald-conrad:14",
        "label": "DONALD CONRAD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:scott-foradora:15",
        "label": "SCOTT FORADORA",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:penn-highlands-healthcare-inc->facility:390086",
        "from": "organization:penn-highlands-healthcare-inc",
        "to": "facility:390086",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:douglas-winner:0->facility:390086",
        "from": "cms-owner:douglas-winner:0",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/12/2024"
      },
      {
        "id": "cms-owner:jourdan-strishock:1->facility:390086",
        "from": "cms-owner:jourdan-strishock:1",
        "to": "facility:390086",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 08/01/2021"
      },
      {
        "id": "cms-owner:russell-cameron:2->facility:390086",
        "from": "cms-owner:russell-cameron:2",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2016"
      },
      {
        "id": "cms-owner:penn-highlands-healthcare-inc:3->facility:390086",
        "from": "cms-owner:penn-highlands-healthcare-inc:3",
        "to": "facility:390086",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 06/16/2011"
      },
      {
        "id": "cms-owner:penn-highlands-healthcare-inc:4->facility:390086",
        "from": "cms-owner:penn-highlands-healthcare-inc:4",
        "to": "facility:390086",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 06/16/2011"
      },
      {
        "id": "cms-owner:robert-o-leary:5->facility:390086",
        "from": "cms-owner:robert-o-leary:5",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2021"
      },
      {
        "id": "cms-owner:trina-johnson:6->facility:390086",
        "from": "cms-owner:trina-johnson:6",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/21/2022"
      },
      {
        "id": "cms-owner:edward-yahner:7->facility:390086",
        "from": "cms-owner:edward-yahner:7",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2025"
      },
      {
        "id": "cms-owner:joanne-ryan:8->facility:390086",
        "from": "cms-owner:joanne-ryan:8",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2022"
      },
      {
        "id": "cms-owner:david-lezzer:9->facility:390086",
        "from": "cms-owner:david-lezzer:9",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2021"
      },
      {
        "id": "cms-owner:james-devlin:10->facility:390086",
        "from": "cms-owner:james-devlin:10",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2022"
      },
      {
        "id": "cms-owner:carlyn-belczyk:11->facility:390086",
        "from": "cms-owner:carlyn-belczyk:11",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 10/01/2021"
      },
      {
        "id": "cms-owner:samuel-lewis:12->facility:390086",
        "from": "cms-owner:samuel-lewis:12",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 02/01/2021"
      },
      {
        "id": "cms-owner:richard-pfingstler:13->facility:390086",
        "from": "cms-owner:richard-pfingstler:13",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2021"
      },
      {
        "id": "cms-owner:donald-conrad:14->facility:390086",
        "from": "cms-owner:donald-conrad:14",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2021"
      },
      {
        "id": "cms-owner:scott-foradora:15->facility:390086",
        "from": "cms-owner:scott-foradora:15",
        "to": "facility:390086",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2020"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 418355981,
      "latestValue": 476408153,
      "absoluteChange": 58052172,
      "percentChange": 13.876261996120476,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 482433080,
      "latestValue": 524549361,
      "absoluteChange": 42116281,
      "percentChange": 8.729973699150149,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 17840375,
      "latestValue": 1616321,
      "absoluteChange": -16224054,
      "percentChange": -90.94009514934524,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 597756275,
      "latestValue": 583630262,
      "absoluteChange": -14126013,
      "percentChange": -2.363172682712532,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 280797972,
      "latestValue": 371459283,
      "absoluteChange": 90661311,
      "percentChange": 32.28702485073504,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 22366776,
      "latestValue": 12692540,
      "absoluteChange": -9674236,
      "percentChange": -43.25270660375908,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 2039.27,
      "latestValue": 2039.84,
      "absoluteChange": 0.5699999999999363,
      "percentChange": 0.027951178608028183,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 241,
      "latestValue": 261,
      "absoluteChange": 20,
      "percentChange": 8.29875518672199,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 49401,
      "latestValue": 49793,
      "absoluteChange": 392,
      "percentChange": 0.7935062043278476,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 9215,
      "latestValue": 10409,
      "absoluteChange": 1194,
      "percentChange": 12.957135105805751,
      "unit": "discharges"
    }
  ]
}
