{
  "schemaVersion": 3,
  "entityId": "510072",
  "canonicalName": "WETZEL COUNTY HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "WETZEL COUNTY 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": "510072",
    "npi": "1376175240",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "WETZEL COUNTY HOSPITAL INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-510072",
      "from_entity_id": "reported owner",
      "to_entity_id": "510072",
      "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": [],
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      "period_end": "12/31/2023",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "510072-net_patient_revenue-12-31-2022",
      "entity_id": "510072",
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      "period_end": "12/31/2022",
      "value": "33680023",
      "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": "510072-net_patient_revenue-12-31-2021",
      "entity_id": "510072",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "27754248",
      "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": "510072-operating_expense-12-31-2023",
      "entity_id": "510072",
      "metric_name": "operating_expense",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "34925980",
      "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": "510072-operating_expense-12-31-2022",
      "entity_id": "510072",
      "metric_name": "operating_expense",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "30530573",
      "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": "510072-operating_expense-12-31-2021",
      "entity_id": "510072",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "510072-net_income-12-31-2023",
      "entity_id": "510072",
      "metric_name": "net_income",
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      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "510072-net_income-12-31-2022",
      "entity_id": "510072",
      "metric_name": "net_income",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
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    {
      "metric_id": "510072-net_income-12-31-2021",
      "entity_id": "510072",
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    },
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      "metric_id": "510072-total_assets-12-31-2023",
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      "comparable_to_prior": "review_required"
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    {
      "metric_id": "510072-total_assets-12-31-2022",
      "entity_id": "510072",
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      "period_start": "01/01/2022",
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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"
    },
    {
      "metric_id": "510072-total_assets-12-31-2021",
      "entity_id": "510072",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "entity_id": "510072",
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      "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": "510072-total_liabilities-12-31-2022",
      "entity_id": "510072",
      "metric_name": "total_liabilities",
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      "comparable_to_prior": "review_required"
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    {
      "metric_id": "510072-total_liabilities-12-31-2021",
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      "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": "510072-contract_labor_direct_patient_care-12-31-2023",
      "entity_id": "510072",
      "metric_name": "contract_labor_direct_patient_care",
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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"
    },
    {
      "metric_id": "510072-contract_labor_direct_patient_care-12-31-2022",
      "entity_id": "510072",
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      "metric_id": "510072-fte_employees-12-31-2023",
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      "unit": "FTE",
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      "source_id": "source-cms-hcris",
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    },
    {
      "metric_id": "510072-fte_employees-12-31-2022",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "510072-fte_employees-12-31-2021",
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    },
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      "metric_id": "510072-beds-12-31-2023",
      "entity_id": "510072",
      "metric_name": "beds",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
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    },
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      "metric_id": "510072-beds-12-31-2022",
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      "comparable_to_prior": "review_required"
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      "metric_id": "510072-beds-12-31-2021",
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      "comparable_to_prior": "review_required"
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      "metric_id": "510072-patient_days-12-31-2023",
      "entity_id": "510072",
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      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    {
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      "entity_id": "510072",
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      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
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    {
      "metric_id": "510072-patient_days-12-31-2021",
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      "entity_id": "510072",
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      "period_start": "01/01/2023",
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      "value": "551",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "510072-discharges-12-31-2022",
      "entity_id": "510072",
      "metric_name": "discharges",
      "period_start": "01/01/2022",
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      "unit": "discharges",
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      "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": "510072",
      "metric_name": "discharges",
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      "period_end": "12/31/2021",
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      "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": "ALEX INCIAN",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "06/23/2014",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "organization": "ORTON ARMSTRONG",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "role": "CORPORATE DIRECTOR",
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      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JILLANN WESTBROOK",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "organization": "DONALD BLUM",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "organization": "ROB ROTHLISBERGER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DEBORAH BURGE",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "06/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WEST VIRGINIA UNITED HEALTH SYSTEM INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "07/01/2020",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JESSICA HUFFMAN",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "03/12/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KYLE PIERSON",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "12/30/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM BANE",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/19/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "PAUL BARCUS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SEAN SMITH",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARJEAN KENNEDY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/17/2021",
      "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"
  ],
  "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:510072",
        "label": "WETZEL COUNTY HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:west-virginia-united-health-system",
        "label": "West Virginia United Health System",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:alex-incian:0",
        "label": "ALEX INCIAN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:orton-armstrong:1",
        "label": "ORTON ARMSTRONG",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:larry-lemon:2",
        "label": "LARRY LEMON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jillann-westbrook:3",
        "label": "JILLANN WESTBROOK",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:donald-blum:4",
        "label": "DONALD BLUM",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:rob-rothlisberger:5",
        "label": "ROB ROTHLISBERGER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:deborah-burge:6",
        "label": "DEBORAH BURGE",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:west-virginia-united-health-system-inc:7",
        "label": "WEST VIRGINIA UNITED HEALTH SYSTEM INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:jessica-huffman:8",
        "label": "JESSICA HUFFMAN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:kyle-pierson:9",
        "label": "KYLE PIERSON",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:william-bane:10",
        "label": "WILLIAM BANE",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:paul-barcus:11",
        "label": "PAUL BARCUS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:sean-smith:12",
        "label": "SEAN SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:marjean-kennedy:13",
        "label": "MARJEAN KENNEDY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:west-virginia-united-health-system->facility:510072",
        "from": "organization:west-virginia-united-health-system",
        "to": "facility:510072",
        "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:alex-incian:0->facility:510072",
        "from": "cms-owner:alex-incian:0",
        "to": "facility:510072",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 06/23/2014"
      },
      {
        "id": "cms-owner:orton-armstrong:1->facility:510072",
        "from": "cms-owner:orton-armstrong:1",
        "to": "facility:510072",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:larry-lemon:2->facility:510072",
        "from": "cms-owner:larry-lemon:2",
        "to": "facility:510072",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/01/2021"
      },
      {
        "id": "cms-owner:jillann-westbrook:3->facility:510072",
        "from": "cms-owner:jillann-westbrook:3",
        "to": "facility:510072",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/01/2020"
      },
      {
        "id": "cms-owner:donald-blum:4->facility:510072",
        "from": "cms-owner:donald-blum:4",
        "to": "facility:510072",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2020"
      },
      {
        "id": "cms-owner:rob-rothlisberger:5->facility:510072",
        "from": "cms-owner:rob-rothlisberger:5",
        "to": "facility:510072",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2022"
      },
      {
        "id": "cms-owner:deborah-burge:6->facility:510072",
        "from": "cms-owner:deborah-burge:6",
        "to": "facility:510072",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 06/01/2021"
      },
      {
        "id": "cms-owner:west-virginia-united-health-system-inc:7->facility:510072",
        "from": "cms-owner:west-virginia-united-health-system-inc:7",
        "to": "facility:510072",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/01/2020"
      },
      {
        "id": "cms-owner:jessica-huffman:8->facility:510072",
        "from": "cms-owner:jessica-huffman:8",
        "to": "facility:510072",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 03/12/2018"
      },
      {
        "id": "cms-owner:kyle-pierson:9->facility:510072",
        "from": "cms-owner:kyle-pierson:9",
        "to": "facility:510072",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 12/30/2018"
      },
      {
        "id": "cms-owner:william-bane:10->facility:510072",
        "from": "cms-owner:william-bane:10",
        "to": "facility:510072",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/19/2024"
      },
      {
        "id": "cms-owner:paul-barcus:11->facility:510072",
        "from": "cms-owner:paul-barcus:11",
        "to": "facility:510072",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2020"
      },
      {
        "id": "cms-owner:sean-smith:12->facility:510072",
        "from": "cms-owner:sean-smith:12",
        "to": "facility:510072",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/01/2021"
      },
      {
        "id": "cms-owner:marjean-kennedy:13->facility:510072",
        "from": "cms-owner:marjean-kennedy:13",
        "to": "facility:510072",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 05/17/2021"
      }
    ],
    "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": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 27754248,
      "latestValue": 36524884,
      "absoluteChange": 8770636,
      "percentChange": 31.601057971377934,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 27615661,
      "latestValue": 34925980,
      "absoluteChange": 7310319,
      "percentChange": 26.47164230470529,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 5007150,
      "latestValue": 2544414,
      "absoluteChange": -2462736,
      "percentChange": -49.1843863275516,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 21733680,
      "latestValue": 24711933,
      "absoluteChange": 2978253,
      "percentChange": 13.703399516326733,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 16349715,
      "latestValue": 14342901,
      "absoluteChange": -2006814,
      "percentChange": -12.274305698906678,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 229066,
      "latestValue": 1116683,
      "absoluteChange": 887617,
      "percentChange": 387.4939973632054,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 154.49,
      "latestValue": 185.07,
      "absoluteChange": 30.579999999999984,
      "percentChange": 19.794161434397036,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 25,
      "latestValue": 25,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 2902,
      "latestValue": 3136,
      "absoluteChange": 234,
      "percentChange": 8.063404548587181,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 534,
      "latestValue": 551,
      "absoluteChange": 17,
      "percentChange": 3.1835205992509366,
      "unit": "discharges"
    }
  ]
}
