{
  "schemaVersion": 3,
  "entityId": "450229",
  "canonicalName": "CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER 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"
  },
  "identifiers": {
    "ccn": "450229",
    "npi": "1528064649",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "HENDRICK MEDICAL CENTER",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-450229",
      "from_entity_id": "reported owner",
      "to_entity_id": "450229",
      "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."
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "450229-net_patient_revenue-08-31-2024",
      "entity_id": "450229",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "784971237",
      "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": "450229-net_patient_revenue-08-31-2023",
      "entity_id": "450229",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "709862865",
      "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": "450229-net_patient_revenue-08-31-2022",
      "entity_id": "450229",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "663047650",
      "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": "450229-operating_expense-08-31-2024",
      "entity_id": "450229",
      "metric_name": "operating_expense",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "752211425",
      "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": "450229-operating_expense-08-31-2023",
      "entity_id": "450229",
      "metric_name": "operating_expense",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "676044602",
      "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": "450229-operating_expense-08-31-2022",
      "entity_id": "450229",
      "metric_name": "operating_expense",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "651978017",
      "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": "450229-net_income-08-31-2024",
      "entity_id": "450229",
      "metric_name": "net_income",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "262955244",
      "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": "450229-net_income-08-31-2023",
      "entity_id": "450229",
      "metric_name": "net_income",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "178993351",
      "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": "450229-net_income-08-31-2022",
      "entity_id": "450229",
      "metric_name": "net_income",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "97621775",
      "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": "450229-total_assets-08-31-2024",
      "entity_id": "450229",
      "metric_name": "total_assets",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "1646213529",
      "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": "450229-total_assets-08-31-2023",
      "entity_id": "450229",
      "metric_name": "total_assets",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "1425368809",
      "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": "450229-total_assets-08-31-2022",
      "entity_id": "450229",
      "metric_name": "total_assets",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "1296138924",
      "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": "450229-total_liabilities-08-31-2024",
      "entity_id": "450229",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "456023720",
      "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": "450229-total_liabilities-08-31-2023",
      "entity_id": "450229",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "437884970",
      "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": "450229-total_liabilities-08-31-2022",
      "entity_id": "450229",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "439679330",
      "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": "450229-contract_labor_direct_patient_care-08-31-2024",
      "entity_id": "450229",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "11283359",
      "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": "450229-contract_labor_direct_patient_care-08-31-2023",
      "entity_id": "450229",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "19829368",
      "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": "450229-contract_labor_direct_patient_care-08-31-2022",
      "entity_id": "450229",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "59829757",
      "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": "450229-fte_employees-08-31-2024",
      "entity_id": "450229",
      "metric_name": "fte_employees",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "2466.79",
      "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": "450229-fte_employees-08-31-2023",
      "entity_id": "450229",
      "metric_name": "fte_employees",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "2447.21",
      "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": "450229-fte_employees-08-31-2022",
      "entity_id": "450229",
      "metric_name": "fte_employees",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "2188.66",
      "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": "450229-beds-08-31-2024",
      "entity_id": "450229",
      "metric_name": "beds",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "533",
      "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": "450229-beds-08-31-2023",
      "entity_id": "450229",
      "metric_name": "beds",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "599",
      "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": "450229-beds-08-31-2022",
      "entity_id": "450229",
      "metric_name": "beds",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "599",
      "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": "450229-patient_days-08-31-2024",
      "entity_id": "450229",
      "metric_name": "patient_days",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "113585",
      "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": "450229-patient_days-08-31-2023",
      "entity_id": "450229",
      "metric_name": "patient_days",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "104913",
      "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": "450229-patient_days-08-31-2022",
      "entity_id": "450229",
      "metric_name": "patient_days",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "107770",
      "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": "450229-discharges-08-31-2024",
      "entity_id": "450229",
      "metric_name": "discharges",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "24728",
      "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": "450229-discharges-08-31-2023",
      "entity_id": "450229",
      "metric_name": "discharges",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "22518",
      "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": "450229-discharges-08-31-2022",
      "entity_id": "450229",
      "metric_name": "discharges",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "21583",
      "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": "PAUL WALDROP",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RICHARD FLORES",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEREMY WALKER",
      "role": "CORPORATE OFFICER",
      "association_date": "09/23/2013",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEREMY WALKER",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "09/23/2013",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LEIGH BLACK",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRADLEE HOLLAND",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRADLEE HOLLAND",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/01/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LARRY SMITH",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2012",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EVAN HARRIS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MATTHEW HIGGINS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID GROOMS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LANNY VINSON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2012",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RICHARD WALDRAFF",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL WOODARD",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2011",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARK NIX",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CATHY ASHBY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2009",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RICHARD DARDEN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RANDY LLOYD",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SCOTT HIBBS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2013",
      "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:450229",
        "label": "CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:hendrick-medical-center",
        "label": "Hendrick Medical Center",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:paul-waldrop:0",
        "label": "PAUL WALDROP",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:richard-flores:1",
        "label": "RICHARD FLORES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jeremy-walker:2",
        "label": "JEREMY WALKER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:jeremy-walker:3",
        "label": "JEREMY WALKER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:leigh-black:4",
        "label": "LEIGH BLACK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bradlee-holland:5",
        "label": "BRADLEE HOLLAND",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:bradlee-holland:6",
        "label": "BRADLEE HOLLAND",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:larry-smith:7",
        "label": "LARRY SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:evan-harris:8",
        "label": "EVAN HARRIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:matthew-higgins:9",
        "label": "MATTHEW HIGGINS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:david-grooms:10",
        "label": "DAVID GROOMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:lanny-vinson:11",
        "label": "LANNY VINSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:richard-waldraff:12",
        "label": "RICHARD WALDRAFF",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:michael-woodard:13",
        "label": "MICHAEL WOODARD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:mark-nix:14",
        "label": "MARK NIX",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:cathy-ashby:15",
        "label": "CATHY ASHBY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:hendrick-medical-center->facility:450229",
        "from": "organization:hendrick-medical-center",
        "to": "facility:450229",
        "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:paul-waldrop:0->facility:450229",
        "from": "cms-owner:paul-waldrop:0",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2016"
      },
      {
        "id": "cms-owner:richard-flores:1->facility:450229",
        "from": "cms-owner:richard-flores:1",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2022"
      },
      {
        "id": "cms-owner:jeremy-walker:2->facility:450229",
        "from": "cms-owner:jeremy-walker:2",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/23/2013"
      },
      {
        "id": "cms-owner:jeremy-walker:3->facility:450229",
        "from": "cms-owner:jeremy-walker:3",
        "to": "facility:450229",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 09/23/2013"
      },
      {
        "id": "cms-owner:leigh-black:4->facility:450229",
        "from": "cms-owner:leigh-black:4",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:bradlee-holland:5->facility:450229",
        "from": "cms-owner:bradlee-holland:5",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2019"
      },
      {
        "id": "cms-owner:bradlee-holland:6->facility:450229",
        "from": "cms-owner:bradlee-holland:6",
        "to": "facility:450229",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/01/2019"
      },
      {
        "id": "cms-owner:larry-smith:7->facility:450229",
        "from": "cms-owner:larry-smith:7",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2012"
      },
      {
        "id": "cms-owner:evan-harris:8->facility:450229",
        "from": "cms-owner:evan-harris:8",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2022"
      },
      {
        "id": "cms-owner:matthew-higgins:9->facility:450229",
        "from": "cms-owner:matthew-higgins:9",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2022"
      },
      {
        "id": "cms-owner:david-grooms:10->facility:450229",
        "from": "cms-owner:david-grooms:10",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2024"
      },
      {
        "id": "cms-owner:lanny-vinson:11->facility:450229",
        "from": "cms-owner:lanny-vinson:11",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2012"
      },
      {
        "id": "cms-owner:richard-waldraff:12->facility:450229",
        "from": "cms-owner:richard-waldraff:12",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:michael-woodard:13->facility:450229",
        "from": "cms-owner:michael-woodard:13",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2011"
      },
      {
        "id": "cms-owner:mark-nix:14->facility:450229",
        "from": "cms-owner:mark-nix:14",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2019"
      },
      {
        "id": "cms-owner:cathy-ashby:15->facility:450229",
        "from": "cms-owner:cathy-ashby:15",
        "to": "facility:450229",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2009"
      }
    ],
    "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": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 663047650,
      "latestValue": 784971237,
      "absoluteChange": 121923587,
      "percentChange": 18.388359720451465,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 651978017,
      "latestValue": 752211425,
      "absoluteChange": 100233408,
      "percentChange": 15.37374043088327,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 97621775,
      "latestValue": 262955244,
      "absoluteChange": 165333469,
      "percentChange": 169.3612608457488,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 1296138924,
      "latestValue": 1646213529,
      "absoluteChange": 350074605,
      "percentChange": 27.00903417973427,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 439679330,
      "latestValue": 456023720,
      "absoluteChange": 16344390,
      "percentChange": 3.7173432737900143,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 59829757,
      "latestValue": 11283359,
      "absoluteChange": -48546398,
      "percentChange": -81.14089114552145,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 2188.66,
      "latestValue": 2466.79,
      "absoluteChange": 278.1300000000001,
      "percentChange": 12.707775533888322,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 599,
      "latestValue": 533,
      "absoluteChange": -66,
      "percentChange": -11.018363939899833,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 107770,
      "latestValue": 113585,
      "absoluteChange": 5815,
      "percentChange": 5.395750208777953,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 21583,
      "latestValue": 24728,
      "absoluteChange": 3145,
      "percentChange": 14.571653616272066,
      "unit": "discharges"
    }
  ]
}
