{
  "schemaVersion": 3,
  "entityId": "510002",
  "canonicalName": "GREENBRIER VALLEY MEDICAL CENTER",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "GREENBRIER VALLEY MEDICAL CENTER appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "510002",
    "npi": "1679299408",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "CAMC GREENBRIER VALLEY MEDICAL CENTER INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-510002",
      "from_entity_id": "reported owner",
      "to_entity_id": "510002",
      "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": "510002-net_patient_revenue-12-31-2023",
      "entity_id": "510002",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "87003190",
      "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": "510002-net_patient_revenue-12-31-2022",
      "entity_id": "510002",
      "metric_name": "net_patient_revenue",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "50752100",
      "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": "510002-net_patient_revenue-04-30-2022",
      "entity_id": "510002",
      "metric_name": "net_patient_revenue",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "70299681",
      "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": "510002-operating_expense-12-31-2023",
      "entity_id": "510002",
      "metric_name": "operating_expense",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "103706522",
      "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": "510002-operating_expense-12-31-2022",
      "entity_id": "510002",
      "metric_name": "operating_expense",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "48555256",
      "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": "510002-operating_expense-04-30-2022",
      "entity_id": "510002",
      "metric_name": "operating_expense",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "68417787",
      "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": "510002-net_income-12-31-2023",
      "entity_id": "510002",
      "metric_name": "net_income",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "-15755734",
      "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": "510002-net_income-12-31-2022",
      "entity_id": "510002",
      "metric_name": "net_income",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "4862023",
      "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": "510002-net_income-04-30-2022",
      "entity_id": "510002",
      "metric_name": "net_income",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "2778252",
      "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": "510002-total_assets-12-31-2023",
      "entity_id": "510002",
      "metric_name": "total_assets",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "127983969",
      "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": "510002-total_assets-12-31-2022",
      "entity_id": "510002",
      "metric_name": "total_assets",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "-41812994",
      "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": "510002-total_assets-04-30-2022",
      "entity_id": "510002",
      "metric_name": "total_assets",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "40856640",
      "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": "510002-total_liabilities-12-31-2023",
      "entity_id": "510002",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "143739703",
      "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": "510002-total_liabilities-12-31-2022",
      "entity_id": "510002",
      "metric_name": "total_liabilities",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "-258036967",
      "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": "510002-total_liabilities-04-30-2022",
      "entity_id": "510002",
      "metric_name": "total_liabilities",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "-170505308",
      "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": "510002-contract_labor_direct_patient_care-12-31-2023",
      "entity_id": "510002",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "10064257",
      "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": "510002-contract_labor_direct_patient_care-12-31-2022",
      "entity_id": "510002",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "5371542",
      "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": "510002-contract_labor_direct_patient_care-04-30-2022",
      "entity_id": "510002",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "6155363",
      "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": "510002-fte_employees-12-31-2023",
      "entity_id": "510002",
      "metric_name": "fte_employees",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "357.25",
      "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": "510002-fte_employees-12-31-2022",
      "entity_id": "510002",
      "metric_name": "fte_employees",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "265.89",
      "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": "510002-fte_employees-04-30-2022",
      "entity_id": "510002",
      "metric_name": "fte_employees",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "297.13",
      "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": "510002-beds-12-31-2023",
      "entity_id": "510002",
      "metric_name": "beds",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "66",
      "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": "510002-beds-12-31-2022",
      "entity_id": "510002",
      "metric_name": "beds",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "58",
      "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": "510002-beds-04-30-2022",
      "entity_id": "510002",
      "metric_name": "beds",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "71",
      "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": "510002-patient_days-12-31-2023",
      "entity_id": "510002",
      "metric_name": "patient_days",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "10353",
      "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": "510002-patient_days-12-31-2022",
      "entity_id": "510002",
      "metric_name": "patient_days",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "8313",
      "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": "510002-patient_days-04-30-2022",
      "entity_id": "510002",
      "metric_name": "patient_days",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "12543",
      "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": "510002-discharges-12-31-2023",
      "entity_id": "510002",
      "metric_name": "discharges",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "2311",
      "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": "510002-discharges-12-31-2022",
      "entity_id": "510002",
      "metric_name": "discharges",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "1717",
      "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": "510002-discharges-04-30-2022",
      "entity_id": "510002",
      "metric_name": "discharges",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "2236",
      "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": "GLENN CROTTY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID RAMSEY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHAD HOVIS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHAD HOVIS",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "VANDALIA HEALTH INC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "09/01/2022",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "VANDALIA HEALTH INC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "09/01/2022",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEFFREY SANDENE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEFFREY SANDENE",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/01/2023",
      "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"
  ],
  "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:510002",
        "label": "GREENBRIER VALLEY MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:vandalia-health-inc",
        "label": "VANDALIA HEALTH INC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:glenn-crotty:0",
        "label": "GLENN CROTTY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:david-ramsey:1",
        "label": "DAVID RAMSEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:chad-hovis:2",
        "label": "CHAD HOVIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:chad-hovis:3",
        "label": "CHAD HOVIS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:vandalia-health-inc:4",
        "label": "VANDALIA HEALTH INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:vandalia-health-inc:5",
        "label": "VANDALIA HEALTH INC",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:jeffrey-sandene:6",
        "label": "JEFFREY SANDENE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jeffrey-sandene:7",
        "label": "JEFFREY SANDENE",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:vandalia-health-inc->facility:510002",
        "from": "organization:vandalia-health-inc",
        "to": "facility:510002",
        "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:glenn-crotty:0->facility:510002",
        "from": "cms-owner:glenn-crotty:0",
        "to": "facility:510002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:david-ramsey:1->facility:510002",
        "from": "cms-owner:david-ramsey:1",
        "to": "facility:510002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:chad-hovis:2->facility:510002",
        "from": "cms-owner:chad-hovis:2",
        "to": "facility:510002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:chad-hovis:3->facility:510002",
        "from": "cms-owner:chad-hovis:3",
        "to": "facility:510002",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/01/2023"
      },
      {
        "id": "cms-owner:vandalia-health-inc:4->facility:510002",
        "from": "cms-owner:vandalia-health-inc:4",
        "to": "facility:510002",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 09/01/2022"
      },
      {
        "id": "cms-owner:vandalia-health-inc:5->facility:510002",
        "from": "cms-owner:vandalia-health-inc:5",
        "to": "facility:510002",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 09/01/2022"
      },
      {
        "id": "cms-owner:jeffrey-sandene:6->facility:510002",
        "from": "cms-owner:jeffrey-sandene:6",
        "to": "facility:510002",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:jeffrey-sandene:7->facility:510002",
        "from": "cms-owner:jeffrey-sandene:7",
        "to": "facility:510002",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/01/2023"
      }
    ],
    "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": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 70299681,
      "latestValue": 87003190,
      "absoluteChange": 16703509,
      "percentChange": 23.76043356441404,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 68417787,
      "latestValue": 103706522,
      "absoluteChange": 35288735,
      "percentChange": 51.57830521469512,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 2778252,
      "latestValue": -15755734,
      "absoluteChange": -18533986,
      "percentChange": -667.1096070478848,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 40856640,
      "latestValue": 127983969,
      "absoluteChange": 87127329,
      "percentChange": 213.2513319744355,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": -170505308,
      "latestValue": 143739703,
      "absoluteChange": 314245011,
      "percentChange": 184.30218665098684,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 6155363,
      "latestValue": 10064257,
      "absoluteChange": 3908894,
      "percentChange": 63.503874588712314,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 297.13,
      "latestValue": 357.25,
      "absoluteChange": 60.120000000000005,
      "percentChange": 20.23356779860667,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 71,
      "latestValue": 66,
      "absoluteChange": -5,
      "percentChange": -7.042253521126761,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 12543,
      "latestValue": 10353,
      "absoluteChange": -2190,
      "percentChange": -17.459937813920114,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 2236,
      "latestValue": 2311,
      "absoluteChange": 75,
      "percentChange": 3.3542039355992843,
      "unit": "discharges"
    }
  ]
}