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  "canonicalName": "VALLEY HEALTH WARREN MEMORIAL HOSPITAL",
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  "statusLabel": "PE-backed service contract",
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      "end_date": "",
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      "role": "CORPORATE DIRECTOR",
      "association_date": "06/01/2003",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "THOMAS BALL",
      "role": "CORPORATE OFFICER",
      "association_date": "06/01/2012",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JUDITH WORDSWORTH",
      "role": "CORPORATE OFFICER",
      "association_date": "06/01/2012",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GUNA SUBEDI",
      "role": "CORPORATE OFFICER",
      "association_date": "06/01/2011",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID BLOUNT",
      "role": "CORPORATE OFFICER",
      "association_date": "06/01/2004",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID BLOUNT",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/01/2012",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TAMMY GASPER",
      "role": "CORPORATE OFFICER",
      "association_date": "02/01/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOHN LESINSKI",
      "role": "CORPORATE OFFICER",
      "association_date": "06/01/2011",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JENNIFER BARRON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/01/2011",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRIDGET MADDEN",
      "role": "CORPORATE OFFICER",
      "association_date": "06/01/2010",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "SCP Health is the announced clinical staffing and management contractor.",
    "Onex identifies SCP Health as a portfolio company."
  ],
  "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 documented relationship is a clinical service contract. Valley Health remains a nonprofit system; this is not an ownership claim."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-valley-contract-reporting",
      "title": "Virginia system consolidates physician management, closes observation unit",
      "publisher": "Becker's Hospital Review",
      "publication_date": "2026-04-07",
      "retrieved_at": "2026-06-22",
      "url": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "reliability_tier": "reporting",
      "research_note": "Documents the contract scope, transition dates, stated rationale, and expected savings.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-onex-scp",
      "title": "SCP Health portfolio profile",
      "publisher": "Onex",
      "publication_date": "current portfolio page",
      "retrieved_at": "2026-06-22",
      "url": "https://www.onex.com/portfolio/OP-OpCo-SCPHealth",
      "reliability_tier": "primary",
      "research_note": "Primary-source confirmation that SCP Health is held through Onex Partners.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-acep-valley",
      "title": "Joint statement on due process, transparency, and due diligence in emergency medicine contracting",
      "publisher": "ACEP and VACEP",
      "publication_date": "2026-04-16",
      "retrieved_at": "2026-06-22",
      "url": "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians",
      "reliability_tier": "primary",
      "research_note": "Professional-association response requesting notice, transparency, and physician involvement.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "high",
    "nodes": [
      {
        "id": "facility:490033",
        "label": "VALLEY HEALTH WARREN MEMORIAL HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:onex-partners",
        "label": "Onex Partners",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:valley-health-system",
        "label": "VALLEY HEALTH SYSTEM",
        "kind": "contractor",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:barbara-walter:0",
        "label": "BARBARA WALTER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:raymond-grimm:1",
        "label": "RAYMOND GRIMM",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:raymond-grimm:2",
        "label": "RAYMOND GRIMM",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:pamela-mcinnis:3",
        "label": "PAMELA MCINNIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:valley-health-system:4",
        "label": "VALLEY HEALTH SYSTEM",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:marvin-way:5",
        "label": "MARVIN WAY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:renee-baker:6",
        "label": "RENEE BAKER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jill-chambers:7",
        "label": "JILL CHAMBERS",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:mark-pierce:8",
        "label": "MARK PIERCE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:mark-pierce:9",
        "label": "MARK PIERCE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:mike-williams:10",
        "label": "MIKE WILLIAMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:henry-hobgood:11",
        "label": "HENRY HOBGOOD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:patrick-nolan:12",
        "label": "PATRICK NOLAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:patrick-nolan:13",
        "label": "PATRICK NOLAN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:william-major:14",
        "label": "WILLIAM MAJOR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:onex-partners->organization:valley-health-system",
        "from": "organization:onex-partners",
        "to": "organization:valley-health-system",
        "relationship": "sponsors",
        "confidence": "high",
        "sourceIds": [
          "source-valley-contract-reporting",
          "source-onex-scp",
          "source-acep-valley"
        ],
        "note": "Primary portfolio evidence identifies the contractor as a sponsor portfolio company."
      },
      {
        "id": "organization:valley-health-system->facility:490033",
        "from": "organization:valley-health-system",
        "to": "facility:490033",
        "relationship": "manages or staffs under contract",
        "confidence": "high",
        "sourceIds": [
          "source-valley-contract-reporting",
          "source-onex-scp",
          "source-acep-valley"
        ],
        "note": "This is a service contract, not an ownership transfer."
      },
      {
        "id": "cms-owner:barbara-walter:0->facility:490033",
        "from": "cms-owner:barbara-walter:0",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/01/2011"
      },
      {
        "id": "cms-owner:raymond-grimm:1->facility:490033",
        "from": "cms-owner:raymond-grimm:1",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/01/2008"
      },
      {
        "id": "cms-owner:raymond-grimm:2->facility:490033",
        "from": "cms-owner:raymond-grimm:2",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/01/2008"
      },
      {
        "id": "cms-owner:pamela-mcinnis:3->facility:490033",
        "from": "cms-owner:pamela-mcinnis:3",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/01/2011"
      },
      {
        "id": "cms-owner:valley-health-system:4->facility:490033",
        "from": "cms-owner:valley-health-system:4",
        "to": "facility:490033",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · associated 07/01/1993"
      },
      {
        "id": "cms-owner:marvin-way:5->facility:490033",
        "from": "cms-owner:marvin-way:5",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/01/2009"
      },
      {
        "id": "cms-owner:renee-baker:6->facility:490033",
        "from": "cms-owner:renee-baker:6",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/24/2015"
      },
      {
        "id": "cms-owner:jill-chambers:7->facility:490033",
        "from": "cms-owner:jill-chambers:7",
        "to": "facility:490033",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 09/01/2017"
      },
      {
        "id": "cms-owner:mark-pierce:8->facility:490033",
        "from": "cms-owner:mark-pierce:8",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/01/2008"
      },
      {
        "id": "cms-owner:mark-pierce:9->facility:490033",
        "from": "cms-owner:mark-pierce:9",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/01/2012"
      },
      {
        "id": "cms-owner:mike-williams:10->facility:490033",
        "from": "cms-owner:mike-williams:10",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/01/2012"
      },
      {
        "id": "cms-owner:henry-hobgood:11->facility:490033",
        "from": "cms-owner:henry-hobgood:11",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/01/2001"
      },
      {
        "id": "cms-owner:patrick-nolan:12->facility:490033",
        "from": "cms-owner:patrick-nolan:12",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 04/01/2004"
      },
      {
        "id": "cms-owner:patrick-nolan:13->facility:490033",
        "from": "cms-owner:patrick-nolan:13",
        "to": "facility:490033",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 04/01/2004"
      },
      {
        "id": "cms-owner:william-major:14->facility:490033",
        "from": "cms-owner:william-major:14",
        "to": "facility:490033",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/01/2003"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.",
      "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence.",
      "A management or staffing contract is not hospital ownership."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 88166066,
      "latestValue": 106850217,
      "absoluteChange": 18684151,
      "percentChange": 21.19199806419853,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 97933715,
      "latestValue": 102599420,
      "absoluteChange": 4665705,
      "percentChange": 4.764145830677412,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": -5122378,
      "latestValue": 5272018,
      "absoluteChange": 10394396,
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      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 188473021,
      "latestValue": 175331661,
      "absoluteChange": -13141360,
      "percentChange": -6.972541709298542,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 95414183,
      "latestValue": 71269720,
      "absoluteChange": -24144463,
      "percentChange": -25.30489937748563,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "09/30/2020",
      "latestPeriod": "09/30/2023",
      "earliestValue": 1544022,
      "latestValue": 2575041,
      "absoluteChange": 1031019,
      "percentChange": 66.77489051321808,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 336.64,
      "latestValue": 315.17,
      "absoluteChange": -21.46999999999997,
      "percentChange": -6.377732889733832,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 46,
      "latestValue": 36,
      "absoluteChange": -10,
      "percentChange": -21.73913043478261,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 5758,
      "latestValue": 6439,
      "absoluteChange": 681,
      "percentChange": 11.827023271969434,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 1631,
      "latestValue": 2123,
      "absoluteChange": 492,
      "percentChange": 30.16554261189454,
      "unit": "discharges"
    }
  ]
}
