{
  "schemaVersion": 3,
  "entityId": "490060",
  "canonicalName": "CLINCH VALLEY MEDICAL CENTER",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "CLINCH VALLEY MEDICAL CENTER is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for CLINCH VALLEY MEDICAL CENTER, INC.. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "high",
    "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": "490060",
    "npi": "1871534297",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "CLINCH VALLEY MEDICAL CENTER, INC.",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-lifepointhealth-490060",
      "from_entity_id": "LifePoint Health",
      "to_entity_id": "490060",
      "relationship_type": "owns",
      "effective_date": "November 2018",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "high",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies LifePoint Health in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS explicitly identifies at least one owner as an investment firm or private-equity company."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "November 2018",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
  "financialAndUtilizationSeries": [
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      "period_end": "11/30/2023",
      "value": "122400040",
      "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": "490060-net_patient_revenue-11-30-2022",
      "entity_id": "490060",
      "metric_name": "net_patient_revenue",
      "period_start": "12/01/2021",
      "period_end": "11/30/2022",
      "value": "123504184",
      "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": "490060-net_patient_revenue-11-30-2021",
      "entity_id": "490060",
      "metric_name": "net_patient_revenue",
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      "period_end": "11/30/2021",
      "value": "115235044",
      "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": "490060-operating_expense-11-30-2023",
      "entity_id": "490060",
      "metric_name": "operating_expense",
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      "period_end": "11/30/2023",
      "value": "122881966",
      "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": "490060-operating_expense-11-30-2022",
      "entity_id": "490060",
      "metric_name": "operating_expense",
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      "value": "117241361",
      "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": "490060-operating_expense-11-30-2021",
      "entity_id": "490060",
      "metric_name": "operating_expense",
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      "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"
    },
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      "metric_id": "490060-net_income-11-30-2023",
      "entity_id": "490060",
      "metric_name": "net_income",
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      "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": "490060-net_income-11-30-2022",
      "entity_id": "490060",
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      "better_when": "context_dependent",
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    {
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "490060-total_assets-11-30-2022",
      "entity_id": "490060",
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      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
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    {
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      "better_when": "context_dependent",
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      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
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    },
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      "entity_id": "490060",
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      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "490060-total_liabilities-11-30-2022",
      "entity_id": "490060",
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      "comparable_to_prior": "review_required"
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    {
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      "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.",
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      "better_when": "context_dependent",
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    },
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      "metric_id": "490060-fte_employees-11-30-2023",
      "entity_id": "490060",
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      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
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      "metric_id": "490060-fte_employees-11-30-2022",
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      "source_id": "source-cms-hcris",
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    },
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    },
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      "metric_id": "490060-beds-11-30-2023",
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      "metric_name": "beds",
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    },
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      "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"
    },
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      "entity_id": "490060",
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      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "source_id": "source-cms-hcris",
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    },
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      "source_id": "source-cms-hcris",
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    },
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
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      "source_id": "source-cms-hcris",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    }
  ],
  "cmsOwnerRecords": [
    {
      "organization": "LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "07/01/2006",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": true,
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    },
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      "organization": "DANIEL DAVIS",
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      "investment_firm": false,
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    },
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      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: LifePoint Health.",
    "Reported investment sponsor: Apollo Global Management."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [],
  "unavailableFields": [],
  "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": "high",
    "nodes": [
      {
        "id": "facility:490060",
        "label": "CLINCH VALLEY MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:apollo-global-management",
        "label": "Apollo Global Management",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:lifepoint-health",
        "label": "LifePoint Health",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:lifepoint-corporate-services-general-partnership:0",
        "label": "LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP",
        "kind": "cms_management_company",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:william-haugh:1",
        "label": "WILLIAM HAUGH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:william-haugh:2",
        "label": "WILLIAM HAUGH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:dsb-acquisition-llc:3",
        "label": "DSB ACQUISITION LLC",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:daniel-davis:4",
        "label": "DANIEL DAVIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:daniel-davis:5",
        "label": "DANIEL DAVIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:lifepoint-health-inc:6",
        "label": "LIFEPOINT HEALTH INC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:peter-mulkey:7",
        "label": "PETER MULKEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:marcus-poppell:8",
        "label": "MARCUS POPPELL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:charlotte-lawrence:9",
        "label": "CHARLOTTE LAWRENCE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:lifepoint-acquisition-corp:10",
        "label": "LIFEPOINT ACQUISITION CORP",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:john-grooms:11",
        "label": "JOHN GROOMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:christopher-monte:12",
        "label": "CHRISTOPHER MONTE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:lifepoint-va-holdings-inc:13",
        "label": "LIFEPOINT VA HOLDINGS INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:legacy-lifepoint-health-llc:14",
        "label": "LEGACY LIFEPOINT HEALTH LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->organization:lifepoint-health",
        "from": "organization:apollo-global-management",
        "to": "organization:lifepoint-health",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:lifepoint-health->facility:490060",
        "from": "organization:lifepoint-health",
        "to": "facility:490060",
        "relationship": "reported ownership or operating chain",
        "confidence": "high",
        "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:lifepoint-corporate-services-general-partnership:0->facility:490060",
        "from": "cms-owner:lifepoint-corporate-services-general-partnership:0",
        "to": "facility:490060",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 07/01/2006"
      },
      {
        "id": "cms-owner:william-haugh:1->facility:490060",
        "from": "cms-owner:william-haugh:1",
        "to": "facility:490060",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/19/2022"
      },
      {
        "id": "cms-owner:william-haugh:2->facility:490060",
        "from": "cms-owner:william-haugh:2",
        "to": "facility:490060",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/19/2022"
      },
      {
        "id": "cms-owner:dsb-acquisition-llc:3->facility:490060",
        "from": "cms-owner:dsb-acquisition-llc:3",
        "to": "facility:490060",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 11/16/2018"
      },
      {
        "id": "cms-owner:daniel-davis:4->facility:490060",
        "from": "cms-owner:daniel-davis:4",
        "to": "facility:490060",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/19/2022"
      },
      {
        "id": "cms-owner:daniel-davis:5->facility:490060",
        "from": "cms-owner:daniel-davis:5",
        "to": "facility:490060",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/19/2022"
      },
      {
        "id": "cms-owner:lifepoint-health-inc:6->facility:490060",
        "from": "cms-owner:lifepoint-health-inc:6",
        "to": "facility:490060",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 11/16/2018"
      },
      {
        "id": "cms-owner:peter-mulkey:7->facility:490060",
        "from": "cms-owner:peter-mulkey:7",
        "to": "facility:490060",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · associated 06/10/2013"
      },
      {
        "id": "cms-owner:marcus-poppell:8->facility:490060",
        "from": "cms-owner:marcus-poppell:8",
        "to": "facility:490060",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 11/02/2009"
      },
      {
        "id": "cms-owner:charlotte-lawrence:9->facility:490060",
        "from": "cms-owner:charlotte-lawrence:9",
        "to": "facility:490060",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/21/2022"
      },
      {
        "id": "cms-owner:lifepoint-acquisition-corp:10->facility:490060",
        "from": "cms-owner:lifepoint-acquisition-corp:10",
        "to": "facility:490060",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/01/2006"
      },
      {
        "id": "cms-owner:john-grooms:11->facility:490060",
        "from": "cms-owner:john-grooms:11",
        "to": "facility:490060",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 11/01/2016"
      },
      {
        "id": "cms-owner:christopher-monte:12->facility:490060",
        "from": "cms-owner:christopher-monte:12",
        "to": "facility:490060",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 07/01/2006"
      },
      {
        "id": "cms-owner:lifepoint-va-holdings-inc:13->facility:490060",
        "from": "cms-owner:lifepoint-va-holdings-inc:13",
        "to": "facility:490060",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/01/2006"
      },
      {
        "id": "cms-owner:legacy-lifepoint-health-llc:14->facility:490060",
        "from": "cms-owner:legacy-lifepoint-health-llc:14",
        "to": "facility:490060",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/23/2022"
      }
    ],
    "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."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": 115235044,
      "latestValue": 122400040,
      "absoluteChange": 7164996,
      "percentChange": 6.217723143317409,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": 106845803,
      "latestValue": 122881966,
      "absoluteChange": 16036163,
      "percentChange": 15.008697159588008,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": 10693870,
      "latestValue": 1239801,
      "absoluteChange": -9454069,
      "percentChange": -88.40643284423693,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": 49751350,
      "latestValue": 73718009,
      "absoluteChange": 23966659,
      "percentChange": 48.17288174089748,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": -22829875,
      "latestValue": -32690918,
      "absoluteChange": -9861043,
      "percentChange": -43.19359173013431,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": 294183,
      "latestValue": 552148,
      "absoluteChange": 257965,
      "percentChange": 87.68861558961599,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": 568.51,
      "latestValue": 504,
      "absoluteChange": -64.50999999999999,
      "percentChange": -11.347205853898787,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": 151,
      "latestValue": 151,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": 12733,
      "latestValue": 9829,
      "absoluteChange": -2904,
      "percentChange": -22.806879761250297,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "11/30/2021",
      "latestPeriod": "11/30/2023",
      "earliestValue": 2715,
      "latestValue": 2471,
      "absoluteChange": -244,
      "percentChange": -8.987108655616943,
      "unit": "discharges"
    }
  ]
}
