{
  "schemaVersion": 3,
  "entityId": "451340",
  "canonicalName": "SHAMROCK GENERAL HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "SHAMROCK GENERAL 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": "451340",
    "npi": "1336818707",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "PREFERRED HOSPITAL LEASING SHAMROCK INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "SHAMROCK GENERAL HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-451340",
      "from_entity_id": "reported owner",
      "to_entity_id": "451340",
      "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": "451340-net_patient_revenue-03-31-2024",
      "entity_id": "451340",
      "metric_name": "net_patient_revenue",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "4491280",
      "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": "451340-net_patient_revenue-03-31-2023",
      "entity_id": "451340",
      "metric_name": "net_patient_revenue",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "4508097",
      "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": "451340-net_patient_revenue-03-31-2022",
      "entity_id": "451340",
      "metric_name": "net_patient_revenue",
      "period_start": "10/01/2021",
      "period_end": "03/31/2022",
      "value": "2926598",
      "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": "451340-operating_expense-03-31-2024",
      "entity_id": "451340",
      "metric_name": "operating_expense",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "8230547",
      "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": "451340-operating_expense-03-31-2023",
      "entity_id": "451340",
      "metric_name": "operating_expense",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "7085317",
      "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": "451340-operating_expense-03-31-2022",
      "entity_id": "451340",
      "metric_name": "operating_expense",
      "period_start": "10/01/2021",
      "period_end": "03/31/2022",
      "value": "4220707",
      "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": "451340-net_income-03-31-2024",
      "entity_id": "451340",
      "metric_name": "net_income",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "-408006",
      "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": "451340-net_income-03-31-2023",
      "entity_id": "451340",
      "metric_name": "net_income",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "755838",
      "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": "451340-net_income-03-31-2022",
      "entity_id": "451340",
      "metric_name": "net_income",
      "period_start": "10/01/2021",
      "period_end": "03/31/2022",
      "value": "-214489",
      "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": "451340-total_assets-03-31-2024",
      "entity_id": "451340",
      "metric_name": "total_assets",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "2557815",
      "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": "451340-total_assets-03-31-2023",
      "entity_id": "451340",
      "metric_name": "total_assets",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "2962668",
      "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": "451340-total_assets-03-31-2022",
      "entity_id": "451340",
      "metric_name": "total_assets",
      "period_start": "10/01/2021",
      "period_end": "03/31/2022",
      "value": "2853989",
      "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": "451340-total_liabilities-03-31-2024",
      "entity_id": "451340",
      "metric_name": "total_liabilities",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "2809168",
      "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": "451340-total_liabilities-03-31-2023",
      "entity_id": "451340",
      "metric_name": "total_liabilities",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "2450953",
      "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": "451340-total_liabilities-03-31-2022",
      "entity_id": "451340",
      "metric_name": "total_liabilities",
      "period_start": "10/01/2021",
      "period_end": "03/31/2022",
      "value": "3068376",
      "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": "451340-contract_labor_direct_patient_care-09-30-2020",
      "entity_id": "451340",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "10/01/2019",
      "period_end": "09/30/2020",
      "value": "29918",
      "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": "451340-contract_labor_direct_patient_care-09-30-2019",
      "entity_id": "451340",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "10/01/2018",
      "period_end": "09/30/2019",
      "value": "23590",
      "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": "451340-contract_labor_direct_patient_care-09-30-2018",
      "entity_id": "451340",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "10/01/2017",
      "period_end": "09/30/2018",
      "value": "38095",
      "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": "451340-fte_employees-03-31-2024",
      "entity_id": "451340",
      "metric_name": "fte_employees",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "53.85",
      "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": "451340-fte_employees-03-31-2023",
      "entity_id": "451340",
      "metric_name": "fte_employees",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "49.57",
      "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": "451340-fte_employees-03-31-2022",
      "entity_id": "451340",
      "metric_name": "fte_employees",
      "period_start": "10/01/2021",
      "period_end": "03/31/2022",
      "value": "57.41",
      "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": "451340-beds-03-31-2024",
      "entity_id": "451340",
      "metric_name": "beds",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "25",
      "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": "451340-beds-03-31-2023",
      "entity_id": "451340",
      "metric_name": "beds",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "25",
      "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": "451340-beds-03-31-2022",
      "entity_id": "451340",
      "metric_name": "beds",
      "period_start": "10/01/2021",
      "period_end": "03/31/2022",
      "value": "25",
      "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": "451340-patient_days-03-31-2024",
      "entity_id": "451340",
      "metric_name": "patient_days",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "300",
      "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": "451340-patient_days-03-31-2023",
      "entity_id": "451340",
      "metric_name": "patient_days",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "426",
      "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": "451340-patient_days-03-31-2022",
      "entity_id": "451340",
      "metric_name": "patient_days",
      "period_start": "10/01/2021",
      "period_end": "03/31/2022",
      "value": "402",
      "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": "451340-discharges-03-31-2024",
      "entity_id": "451340",
      "metric_name": "discharges",
      "period_start": "04/01/2023",
      "period_end": "03/31/2024",
      "value": "26",
      "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": "451340-discharges-03-31-2023",
      "entity_id": "451340",
      "metric_name": "discharges",
      "period_start": "04/01/2022",
      "period_end": "03/31/2023",
      "value": "30",
      "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": "451340-discharges-03-31-2022",
      "entity_id": "451340",
      "metric_name": "discharges",
      "period_start": "10/01/2021",
      "period_end": "03/31/2022",
      "value": "38",
      "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": "DONALD FREEMAN",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "06/08/2021",
      "percentage_ownership": "51",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "PREFERRED MANAGEMENT CORPORATION",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "10/01/2021",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL BURKE",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "03/07/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LUKE CAMPBELL",
      "role": "CORPORATE OFFICER",
      "association_date": "02/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JARED CHANSKI",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSH TUCKER",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "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:451340",
        "label": "SHAMROCK GENERAL HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:preferred-management-corporation",
        "label": "Preferred Management Corporation",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:donald-freeman:0",
        "label": "DONALD FREEMAN",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:preferred-management-corporation:1",
        "label": "PREFERRED MANAGEMENT CORPORATION",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:michael-burke:2",
        "label": "MICHAEL BURKE",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:luke-campbell:3",
        "label": "LUKE CAMPBELL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:jared-chanski:4",
        "label": "JARED CHANSKI",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:josh-tucker:5",
        "label": "JOSH TUCKER",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      }
    ],
    "edges": [
      {
        "id": "organization:preferred-management-corporation->facility:451340",
        "from": "organization:preferred-management-corporation",
        "to": "facility:451340",
        "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:donald-freeman:0->facility:451340",
        "from": "cms-owner:donald-freeman:0",
        "to": "facility:451340",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 51% reported ownership · associated 06/08/2021"
      },
      {
        "id": "cms-owner:preferred-management-corporation:1->facility:451340",
        "from": "cms-owner:preferred-management-corporation:1",
        "to": "facility:451340",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 10/01/2021"
      },
      {
        "id": "cms-owner:michael-burke:2->facility:451340",
        "from": "cms-owner:michael-burke:2",
        "to": "facility:451340",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 03/07/2022"
      },
      {
        "id": "cms-owner:luke-campbell:3->facility:451340",
        "from": "cms-owner:luke-campbell:3",
        "to": "facility:451340",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 02/01/2025"
      },
      {
        "id": "cms-owner:jared-chanski:4->facility:451340",
        "from": "cms-owner:jared-chanski:4",
        "to": "facility:451340",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 10/01/2021"
      },
      {
        "id": "cms-owner:josh-tucker:5->facility:451340",
        "from": "cms-owner:josh-tucker:5",
        "to": "facility:451340",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 10/01/2021"
      }
    ],
    "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": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 2926598,
      "latestValue": 4491280,
      "absoluteChange": 1564682,
      "percentChange": 53.46419289564197,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 4220707,
      "latestValue": 8230547,
      "absoluteChange": 4009840,
      "percentChange": 95.00398866824918,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": -214489,
      "latestValue": -408006,
      "absoluteChange": -193517,
      "percentChange": -90.2223424045056,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 2853989,
      "latestValue": 2557815,
      "absoluteChange": -296174,
      "percentChange": -10.377545253327886,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 3068376,
      "latestValue": 2809168,
      "absoluteChange": -259208,
      "percentChange": -8.447726093542643,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "09/30/2018",
      "latestPeriod": "09/30/2020",
      "earliestValue": 38095,
      "latestValue": 29918,
      "absoluteChange": -8177,
      "percentChange": -21.464759154744716,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 57.41,
      "latestValue": 53.85,
      "absoluteChange": -3.559999999999995,
      "percentChange": -6.201010276955226,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 25,
      "latestValue": 25,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 402,
      "latestValue": 300,
      "absoluteChange": -102,
      "percentChange": -25.37313432835821,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 38,
      "latestValue": 26,
      "absoluteChange": -12,
      "percentChange": -31.57894736842105,
      "unit": "discharges"
    }
  ]
}
