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  "statusLabel": "Documented investment signal",
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  "lastReviewed": "2026-06-22",
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    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
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    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
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      "end_date": "",
      "announcement_date": "",
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      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "NOVANT HEALTH, INC.",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "01/31/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DONNA RYAN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "NATALIE HAMMOND",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AMBER DUBE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOHN KNEPPER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:420089",
        "label": "EAST COOPER MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:east-cooper-community-hospital-inc",
        "label": "EAST COOPER COMMUNITY HOSPITAL, INC.",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:catherine-tamblyn:0",
        "label": "CATHERINE TAMBLYN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:john-dodds:1",
        "label": "JOHN DODDS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:carl-armato:2",
        "label": "CARL ARMATO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:dustin-hambright:3",
        "label": "DUSTIN HAMBRIGHT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:sherry-eppelsheimer:4",
        "label": "SHERRY EPPELSHEIMER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:pleshette-grant:5",
        "label": "PLESHETTE GRANT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jason-bernd:6",
        "label": "JASON BERND",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:jason-bernd:7",
        "label": "JASON BERND",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:east-cooper-physician-network-llc:8",
        "label": "EAST COOPER PHYSICIAN NETWORK LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:novant-health-south-carolina-holdings-llc:9",
        "label": "NOVANT HEALTH SOUTH CAROLINA HOLDINGS, LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:bernard-bastian:10",
        "label": "BERNARD BASTIAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:maggie-evans:11",
        "label": "MAGGIE EVANS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:danny-mullis:12",
        "label": "DANNY MULLIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kimberly-caristi:13",
        "label": "KIMBERLY CARISTI",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:east-cooper-community-hospital-inc:14",
        "label": "EAST COOPER COMMUNITY HOSPITAL, INC.",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:novant-health-inc:15",
        "label": "NOVANT HEALTH, INC.",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:east-cooper-community-hospital-inc->facility:420089",
        "from": "organization:east-cooper-community-hospital-inc",
        "to": "facility:420089",
        "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:catherine-tamblyn:0->facility:420089",
        "from": "cms-owner:catherine-tamblyn:0",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:john-dodds:1->facility:420089",
        "from": "cms-owner:john-dodds:1",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:carl-armato:2->facility:420089",
        "from": "cms-owner:carl-armato:2",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/31/2024"
      },
      {
        "id": "cms-owner:dustin-hambright:3->facility:420089",
        "from": "cms-owner:dustin-hambright:3",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:sherry-eppelsheimer:4->facility:420089",
        "from": "cms-owner:sherry-eppelsheimer:4",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:pleshette-grant:5->facility:420089",
        "from": "cms-owner:pleshette-grant:5",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:jason-bernd:6->facility:420089",
        "from": "cms-owner:jason-bernd:6",
        "to": "facility:420089",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/31/2024"
      },
      {
        "id": "cms-owner:jason-bernd:7->facility:420089",
        "from": "cms-owner:jason-bernd:7",
        "to": "facility:420089",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 01/31/2024"
      },
      {
        "id": "cms-owner:east-cooper-physician-network-llc:8->facility:420089",
        "from": "cms-owner:east-cooper-physician-network-llc:8",
        "to": "facility:420089",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 01/31/2024"
      },
      {
        "id": "cms-owner:novant-health-south-carolina-holdings-llc:9->facility:420089",
        "from": "cms-owner:novant-health-south-carolina-holdings-llc:9",
        "to": "facility:420089",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 01/31/2024"
      },
      {
        "id": "cms-owner:bernard-bastian:10->facility:420089",
        "from": "cms-owner:bernard-bastian:10",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:maggie-evans:11->facility:420089",
        "from": "cms-owner:maggie-evans:11",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:danny-mullis:12->facility:420089",
        "from": "cms-owner:danny-mullis:12",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:kimberly-caristi:13->facility:420089",
        "from": "cms-owner:kimberly-caristi:13",
        "to": "facility:420089",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:east-cooper-community-hospital-inc:14->facility:420089",
        "from": "cms-owner:east-cooper-community-hospital-inc:14",
        "to": "facility:420089",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 01/31/2024"
      },
      {
        "id": "cms-owner:novant-health-inc:15->facility:420089",
        "from": "cms-owner:novant-health-inc:15",
        "to": "facility:420089",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · associated 01/31/2024"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 186647476,
      "latestValue": 227523396,
      "absoluteChange": 40875920,
      "percentChange": 21.90006576890437,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 134423612,
      "latestValue": 168242445,
      "absoluteChange": 33818833,
      "percentChange": 25.158402230703338,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 50808926,
      "latestValue": 59481159,
      "absoluteChange": 8672233,
      "percentChange": 17.068325750479353,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 147964488,
      "latestValue": 163195380,
      "absoluteChange": 15230892,
      "percentChange": 10.293613153988678,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 26094319,
      "latestValue": 19094382,
      "absoluteChange": -6999937,
      "percentChange": -26.825520911275746,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 3451785,
      "latestValue": 2651467,
      "absoluteChange": -800318,
      "percentChange": -23.18562714653433,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 335.8,
      "latestValue": 377.58,
      "absoluteChange": 41.77999999999997,
      "percentChange": 12.441929720071462,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 120,
      "latestValue": 120,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 17438,
      "latestValue": 18757,
      "absoluteChange": 1319,
      "percentChange": 7.5639408189012505,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "01/31/2024",
      "earliestValue": 5038,
      "latestValue": 5180,
      "absoluteChange": 142,
      "percentChange": 2.8185788011115522,
      "unit": "discharges"
    }
  ]
}
