{
  "schemaVersion": 3,
  "entityId": "440144",
  "canonicalName": "VANDERBILT TULLAHOMA - HARTON HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "VANDERBILT TULLAHOMA - HARTON HOSPITAL 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": "1831798719",
    "historicalCcns": [],
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        "alias": "VANDERBILT COFFEE HOSPITAL LLC",
        "alias_type": "cms_legal_name",
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      },
      {
        "alias": "VANDERBILT TULLAHOMA-HARTON HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
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      "from_entity_id": "reported owner",
      "to_entity_id": "440144",
      "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": "undefined is reported as an investment backer; this is not treated as a completed ownership claim.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
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      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RAYMOND MEFFORD",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEFFREY BALSER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/09/2020",
      "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",
    "Official facility URL"
  ],
  "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:440144",
        "label": "VANDERBILT TULLAHOMA - HARTON HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:vanderbilt-university-medical-center",
        "label": "VANDERBILT UNIVERSITY MEDICAL CENTER",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:john-ingram:0",
        "label": "JOHN INGRAM",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:cecelia-moore:1",
        "label": "CECELIA MOORE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:gail-williams:2",
        "label": "GAIL WILLIAMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:john-stein:3",
        "label": "JOHN STEIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:angela-simmons:4",
        "label": "ANGELA SIMMONS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:daniel-diermeier:5",
        "label": "DANIEL DIERMEIER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:edith-johnson:6",
        "label": "EDITH JOHNSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:richard-ellis:7",
        "label": "RICHARD ELLIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:makeba-williams:8",
        "label": "MAKEBA WILLIAMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jane-freedman:9",
        "label": "JANE FREEDMAN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:colin-reed:10",
        "label": "COLIN REED",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:vanderbilt-university-medical-center:11",
        "label": "VANDERBILT UNIVERSITY MEDICAL CENTER",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:vanderbilt-university-medical-center:12",
        "label": "VANDERBILT UNIVERSITY MEDICAL CENTER",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:lucinda-baier:13",
        "label": "LUCINDA BAIER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:sara-finley:14",
        "label": "SARA FINLEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:raymond-mefford:15",
        "label": "RAYMOND MEFFORD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:vanderbilt-university-medical-center->facility:440144",
        "from": "organization:vanderbilt-university-medical-center",
        "to": "facility:440144",
        "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:john-ingram:0->facility:440144",
        "from": "cms-owner:john-ingram:0",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/01/2022"
      },
      {
        "id": "cms-owner:cecelia-moore:1->facility:440144",
        "from": "cms-owner:cecelia-moore:1",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 10/09/2020"
      },
      {
        "id": "cms-owner:gail-williams:2->facility:440144",
        "from": "cms-owner:gail-williams:2",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/01/2023"
      },
      {
        "id": "cms-owner:john-stein:3->facility:440144",
        "from": "cms-owner:john-stein:3",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/09/2020"
      },
      {
        "id": "cms-owner:angela-simmons:4->facility:440144",
        "from": "cms-owner:angela-simmons:4",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/01/2021"
      },
      {
        "id": "cms-owner:daniel-diermeier:5->facility:440144",
        "from": "cms-owner:daniel-diermeier:5",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/09/2020"
      },
      {
        "id": "cms-owner:edith-johnson:6->facility:440144",
        "from": "cms-owner:edith-johnson:6",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/09/2020"
      },
      {
        "id": "cms-owner:richard-ellis:7->facility:440144",
        "from": "cms-owner:richard-ellis:7",
        "to": "facility:440144",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · associated 01/01/2021"
      },
      {
        "id": "cms-owner:makeba-williams:8->facility:440144",
        "from": "cms-owner:makeba-williams:8",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/01/2022"
      },
      {
        "id": "cms-owner:jane-freedman:9->facility:440144",
        "from": "cms-owner:jane-freedman:9",
        "to": "facility:440144",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 0% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:colin-reed:10->facility:440144",
        "from": "cms-owner:colin-reed:10",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/01/2023"
      },
      {
        "id": "cms-owner:vanderbilt-university-medical-center:11->facility:440144",
        "from": "cms-owner:vanderbilt-university-medical-center:11",
        "to": "facility:440144",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 10/09/2020"
      },
      {
        "id": "cms-owner:vanderbilt-university-medical-center:12->facility:440144",
        "from": "cms-owner:vanderbilt-university-medical-center:12",
        "to": "facility:440144",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 01/01/2021"
      },
      {
        "id": "cms-owner:lucinda-baier:13->facility:440144",
        "from": "cms-owner:lucinda-baier:13",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/01/2022"
      },
      {
        "id": "cms-owner:sara-finley:14->facility:440144",
        "from": "cms-owner:sara-finley:14",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2022"
      },
      {
        "id": "cms-owner:raymond-mefford:15->facility:440144",
        "from": "cms-owner:raymond-mefford:15",
        "to": "facility:440144",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 07/01/2024"
      }
    ],
    "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": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 63710676,
      "latestValue": 84583164,
      "absoluteChange": 20872488,
      "percentChange": 32.76136639956543,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 78162877,
      "latestValue": 96506839,
      "absoluteChange": 18343962,
      "percentChange": 23.46889303985062,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": -13647264,
      "latestValue": -11805538,
      "absoluteChange": 1841726,
      "percentChange": 13.495203141083808,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 3834190,
      "latestValue": 43102826,
      "absoluteChange": 39268636,
      "percentChange": 1024.170320198008,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 5010761,
      "latestValue": 5503192,
      "absoluteChange": 492431,
      "percentChange": 9.827469320528358,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 4873308,
      "latestValue": 790996,
      "absoluteChange": -4082312,
      "percentChange": -83.76880755330876,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 384.47,
      "latestValue": 472.28,
      "absoluteChange": 87.80999999999995,
      "percentChange": 22.839233230160985,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 86,
      "latestValue": 76,
      "absoluteChange": -10,
      "percentChange": -11.627906976744185,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 15626,
      "latestValue": 17863,
      "absoluteChange": 2237,
      "percentChange": 14.31588378343786,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 3617,
      "latestValue": 4697,
      "absoluteChange": 1080,
      "percentChange": 29.858999170583356,
      "unit": "discharges"
    }
  ]
}
