{
  "schemaVersion": 3,
  "entityId": "450653",
  "canonicalName": "SCENIC MOUNTAIN MEDICAL CENTER - A STEWARD FAMILY HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "SCENIC MOUNTAIN MEDICAL CENTER - A STEWARD FAMILY 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"
  },
  "identifiers": {
    "ccn": "450653",
    "npi": "1336976034",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "BIG SPRING TEXAS HOSPITAL COMPANY LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "SCENIC MOUNTAIN MEDICAL CENTER",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-stewardhealthcare-450653",
      "from_entity_id": "Steward Health Care",
      "to_entity_id": "450653",
      "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": "Steward Health Care is reported as an investment backer; this is not treated as a completed ownership claim.",
      "review_notes": "CMS explicitly identifies at least one owner as an investment firm or private-equity company."
    }
  ],
  "acquisitionEvents": [],
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      "unit": "USD",
      "better_when": "context_dependent",
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      "unit": "USD",
      "better_when": "context_dependent",
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      "better_when": "context_dependent",
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    },
    {
      "organization": "JULIE MANAS",
      "role": "CORPORATE OFFICER",
      "association_date": "09/06/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JULIE MANAS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/06/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DONALD ESPOSITO",
      "role": "CORPORATE OFFICER",
      "association_date": "09/06/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DONALD ESPOSITO",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/06/2024",
      "percentage_ownership": "0",
      "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: Steward Health Care."
  ],
  "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:450653",
        "label": "SCENIC MOUNTAIN MEDICAL CENTER - A STEWARD FAMILY HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:quincy-health-llc",
        "label": "QUINCY HEALTH LLC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:henry-kunath:0",
        "label": "HENRY KUNATH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:henry-kunath:1",
        "label": "HENRY KUNATH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:quorum-health-corporation:2",
        "label": "QUORUM HEALTH CORPORATION",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:gtam-onshore-blocker-2-llc:3",
        "label": "GTAM ONSHORE BLOCKER 2 LLC",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:goldentree-distressed-fund-iii-cayman-carry-lp:4",
        "label": "GOLDENTREE DISTRESSED FUND III (CAYMAN) CARRY LP",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:goldentree-distressed-onshore-master-fund-iii-lp:5",
        "label": "GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:laura-fey:6",
        "label": "LAURA FEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:goldentree-select-offshore-intermediate-fund-lp:7",
        "label": "GOLDENTREE SELECT OFFSHORE INTERMEDIATE FUND LP",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:quorum-health-investment-company-llc:8",
        "label": "QUORUM HEALTH INVESTMENT COMPANY LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:stacey-brown:9",
        "label": "STACEY BROWN",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:goldentree-distressed-master-fund-iii-ltd:10",
        "label": "GOLDENTREE DISTRESSED MASTER FUND III LTD",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:quincy-health-llc:11",
        "label": "QUINCY HEALTH LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:steven-frantz:12",
        "label": "STEVEN FRANTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:steven-frantz:13",
        "label": "STEVEN FRANTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:julie-manas:14",
        "label": "JULIE MANAS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:julie-manas:15",
        "label": "JULIE MANAS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:quincy-health-llc->facility:450653",
        "from": "organization:quincy-health-llc",
        "to": "facility:450653",
        "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:henry-kunath:0->facility:450653",
        "from": "cms-owner:henry-kunath:0",
        "to": "facility:450653",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:henry-kunath:1->facility:450653",
        "from": "cms-owner:henry-kunath:1",
        "to": "facility:450653",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:quorum-health-corporation:2->facility:450653",
        "from": "cms-owner:quorum-health-corporation:2",
        "to": "facility:450653",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:gtam-onshore-blocker-2-llc:3->facility:450653",
        "from": "cms-owner:gtam-onshore-blocker-2-llc:3",
        "to": "facility:450653",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 26.72% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:goldentree-distressed-fund-iii-cayman-carry-lp:4->facility:450653",
        "from": "cms-owner:goldentree-distressed-fund-iii-cayman-carry-lp:4",
        "to": "facility:450653",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5.13% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:goldentree-distressed-onshore-master-fund-iii-lp:5->facility:450653",
        "from": "cms-owner:goldentree-distressed-onshore-master-fund-iii-lp:5",
        "to": "facility:450653",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 15.81% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:laura-fey:6->facility:450653",
        "from": "cms-owner:laura-fey:6",
        "to": "facility:450653",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:goldentree-select-offshore-intermediate-fund-lp:7->facility:450653",
        "from": "cms-owner:goldentree-select-offshore-intermediate-fund-lp:7",
        "to": "facility:450653",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 10.33% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:quorum-health-investment-company-llc:8->facility:450653",
        "from": "cms-owner:quorum-health-investment-company-llc:8",
        "to": "facility:450653",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:stacey-brown:9->facility:450653",
        "from": "cms-owner:stacey-brown:9",
        "to": "facility:450653",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · 0% reported ownership · associated 10/17/2024"
      },
      {
        "id": "cms-owner:goldentree-distressed-master-fund-iii-ltd:10->facility:450653",
        "from": "cms-owner:goldentree-distressed-master-fund-iii-ltd:10",
        "to": "facility:450653",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 21.48% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:quincy-health-llc:11->facility:450653",
        "from": "cms-owner:quincy-health-llc:11",
        "to": "facility:450653",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:steven-frantz:12->facility:450653",
        "from": "cms-owner:steven-frantz:12",
        "to": "facility:450653",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:steven-frantz:13->facility:450653",
        "from": "cms-owner:steven-frantz:13",
        "to": "facility:450653",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:julie-manas:14->facility:450653",
        "from": "cms-owner:julie-manas:14",
        "to": "facility:450653",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 09/06/2024"
      },
      {
        "id": "cms-owner:julie-manas:15->facility:450653",
        "from": "cms-owner:julie-manas:15",
        "to": "facility:450653",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 09/06/2024"
      }
    ],
    "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": "12/31/2023",
      "earliestValue": 41064802,
      "latestValue": 46085757,
      "absoluteChange": 5020955,
      "percentChange": 12.226906634056094,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 45947950,
      "latestValue": 45014636,
      "absoluteChange": -933314,
      "percentChange": -2.0312418725971453,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": -4004709,
      "latestValue": 2165496,
      "absoluteChange": 6170205,
      "percentChange": 154.07374168759827,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 16515866,
      "latestValue": 23353918,
      "absoluteChange": 6838052,
      "percentChange": 41.402927342713966,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 15680833,
      "latestValue": 20026434,
      "absoluteChange": 4345601,
      "percentChange": 27.712819848282294,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2022",
      "earliestValue": 230966,
      "latestValue": 1067491,
      "absoluteChange": 836525,
      "percentChange": 362.18534329728186,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 216.39,
      "latestValue": 166.34,
      "absoluteChange": -50.04999999999998,
      "percentChange": -23.12953463653588,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 75,
      "latestValue": 75,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 6084,
      "latestValue": 2692,
      "absoluteChange": -3392,
      "percentChange": -55.75279421433268,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1630,
      "latestValue": 927,
      "absoluteChange": -703,
      "percentChange": -43.128834355828225,
      "unit": "discharges"
    }
  ]
}
