{
  "schemaVersion": 3,
  "entityId": "pe-tracker-370216",
  "canonicalName": "TULSA SPINE & SPECIALTY HOSPITAL",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "TULSA SPINE & SPECIALTY HOSPITAL is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for TULSA SPINE & SPECIALTY HOSPITAL. 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": "370216",
    "npi": "1033185293",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "TULSA SPINE & SPECIALTY HOSPITAL",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "TULSA SPINE HOSPITAL LLC",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-ardenthealthservices-pe-tracker-370216",
      "from_entity_id": "Ardent Health Services",
      "to_entity_id": "pe-tracker-370216",
      "relationship_type": "owns",
      "effective_date": "August 2015",
      "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 Ardent Health Services in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "August 2015",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
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      "period_end": "12/31/2023",
      "value": "83498310",
      "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": "pe-tracker-370216-net_patient_revenue-12-31-2022",
      "entity_id": "pe-tracker-370216",
      "metric_name": "net_patient_revenue",
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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": "pe-tracker-370216-net_patient_revenue-12-31-2021",
      "entity_id": "pe-tracker-370216",
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      "unit": "USD",
      "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.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-370216-operating_expense-12-31-2023",
      "entity_id": "pe-tracker-370216",
      "metric_name": "operating_expense",
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      "unit": "USD",
      "better_when": "context_dependent",
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    },
    {
      "metric_id": "pe-tracker-370216-operating_expense-12-31-2022",
      "entity_id": "pe-tracker-370216",
      "metric_name": "operating_expense",
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    {
      "metric_id": "pe-tracker-370216-operating_expense-12-31-2021",
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    },
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      "entity_id": "pe-tracker-370216",
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    {
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    },
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    },
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    },
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    },
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    },
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    },
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  ],
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      "role": "CORPORATE DIRECTOR",
      "association_date": "06/01/2018",
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      "investment_firm": false,
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    },
    {
      "organization": "TRENT GASTINEAU",
      "role": "CORPORATE OFFICER",
      "association_date": "03/01/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TRENT GASTINEAU",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "03/01/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AHS MANAGEMENT COMPANY INC.",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "01/01/2020",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEPHEN PETROVICH",
      "role": "CORPORATE OFFICER",
      "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": "AHS TULSA HOLDINGS LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "12/01/2014",
      "percentage_ownership": "51",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TULSA SPINE & SPECIALITY HOLDING COMPNAY LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "12/31/2012",
      "percentage_ownership": "49",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RICHARD THOMAS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/01/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ARDENT LEGACY HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/01/2014",
      "percentage_ownership": "51",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AHP HEALTH PARTNERS, INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/01/2014",
      "percentage_ownership": "51",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: Ardent Health Services.",
    "Reported investment sponsor: Equity Group Investments."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [],
  "unavailableFields": [
    "Official facility URL"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "high",
    "nodes": [
      {
        "id": "facility:pe-tracker-370216",
        "label": "TULSA SPINE & SPECIALTY HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:equity-group-investments",
        "label": "Equity Group Investments",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:ahs-management",
        "label": "AHS Management",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:bruce-hudkins:0",
        "label": "BRUCE HUDKINS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:ardent-health-inc:1",
        "label": "ARDENT HEALTH INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:stephen-brownlee:2",
        "label": "STEPHEN BROWNLEE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kevin-gross:3",
        "label": "KEVIN GROSS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:tom-hamilton:4",
        "label": "TOM HAMILTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:ahs-oklahoma-llc:5",
        "label": "AHS OKLAHOMA, LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:daniel-boedeker:6",
        "label": "DANIEL BOEDEKER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:ahs-hillcrest-healthcare-system-llc:7",
        "label": "AHS HILLCREST HEALTHCARE SYSTEM LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:mary-crabtree:8",
        "label": "MARY CRABTREE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:shihao-zhang:9",
        "label": "SHIHAO ZHANG",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:guy-sneed:10",
        "label": "GUY SNEED",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:trent-gastineau:11",
        "label": "TRENT GASTINEAU",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:trent-gastineau:12",
        "label": "TRENT GASTINEAU",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:ahs-management-company-inc:13",
        "label": "AHS MANAGEMENT COMPANY INC.",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:stephen-petrovich:14",
        "label": "STEPHEN PETROVICH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:equity-group-investments->organization:ahs-management",
        "from": "organization:equity-group-investments",
        "to": "organization:ahs-management",
        "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:ahs-management->facility:pe-tracker-370216",
        "from": "organization:ahs-management",
        "to": "facility:pe-tracker-370216",
        "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:bruce-hudkins:0->facility:pe-tracker-370216",
        "from": "cms-owner:bruce-hudkins:0",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 06/01/2018"
      },
      {
        "id": "cms-owner:ardent-health-inc:1->facility:pe-tracker-370216",
        "from": "cms-owner:ardent-health-inc:1",
        "to": "facility:pe-tracker-370216",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 51% reported ownership · associated 12/01/2014"
      },
      {
        "id": "cms-owner:stephen-brownlee:2->facility:pe-tracker-370216",
        "from": "cms-owner:stephen-brownlee:2",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 06/01/2018"
      },
      {
        "id": "cms-owner:kevin-gross:3->facility:pe-tracker-370216",
        "from": "cms-owner:kevin-gross:3",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 06/01/2018"
      },
      {
        "id": "cms-owner:tom-hamilton:4->facility:pe-tracker-370216",
        "from": "cms-owner:tom-hamilton:4",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 06/01/2018"
      },
      {
        "id": "cms-owner:ahs-oklahoma-llc:5->facility:pe-tracker-370216",
        "from": "cms-owner:ahs-oklahoma-llc:5",
        "to": "facility:pe-tracker-370216",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 51% reported ownership · associated 12/01/2014"
      },
      {
        "id": "cms-owner:daniel-boedeker:6->facility:pe-tracker-370216",
        "from": "cms-owner:daniel-boedeker:6",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 06/01/2023"
      },
      {
        "id": "cms-owner:ahs-hillcrest-healthcare-system-llc:7->facility:pe-tracker-370216",
        "from": "cms-owner:ahs-hillcrest-healthcare-system-llc:7",
        "to": "facility:pe-tracker-370216",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 51% reported ownership · associated 12/01/2014"
      },
      {
        "id": "cms-owner:mary-crabtree:8->facility:pe-tracker-370216",
        "from": "cms-owner:mary-crabtree:8",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 09/01/2021"
      },
      {
        "id": "cms-owner:shihao-zhang:9->facility:pe-tracker-370216",
        "from": "cms-owner:shihao-zhang:9",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/01/2023"
      },
      {
        "id": "cms-owner:guy-sneed:10->facility:pe-tracker-370216",
        "from": "cms-owner:guy-sneed:10",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 06/01/2018"
      },
      {
        "id": "cms-owner:trent-gastineau:11->facility:pe-tracker-370216",
        "from": "cms-owner:trent-gastineau:11",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 03/01/2018"
      },
      {
        "id": "cms-owner:trent-gastineau:12->facility:pe-tracker-370216",
        "from": "cms-owner:trent-gastineau:12",
        "to": "facility:pe-tracker-370216",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 0% reported ownership · associated 03/01/2018"
      },
      {
        "id": "cms-owner:ahs-management-company-inc:13->facility:pe-tracker-370216",
        "from": "cms-owner:ahs-management-company-inc:13",
        "to": "facility:pe-tracker-370216",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 01/01/2020"
      },
      {
        "id": "cms-owner:stephen-petrovich:14->facility:pe-tracker-370216",
        "from": "cms-owner:stephen-petrovich:14",
        "to": "facility:pe-tracker-370216",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2021"
      }
    ],
    "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": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 71077646,
      "latestValue": 83498310,
      "absoluteChange": 12420664,
      "percentChange": 17.474782437223652,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 60112862,
      "latestValue": 69751596,
      "absoluteChange": 9638734,
      "percentChange": 16.03439543437476,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 13352361,
      "latestValue": 16628463,
      "absoluteChange": 3276102,
      "percentChange": 24.53575064365021,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 30432943,
      "latestValue": 29156709,
      "absoluteChange": -1276234,
      "percentChange": -4.193593764493957,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 15635005,
      "latestValue": 17907101,
      "absoluteChange": 2272096,
      "percentChange": 14.532109199837159,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2018",
      "latestPeriod": "12/31/2023",
      "earliestValue": 917,
      "latestValue": 198069,
      "absoluteChange": 197152,
      "percentChange": 21499.672846237732,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 205.54,
      "latestValue": 209.81,
      "absoluteChange": 4.27000000000001,
      "percentChange": 2.0774545100710378,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 38,
      "latestValue": 38,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 2302,
      "latestValue": 2346,
      "absoluteChange": 44,
      "percentChange": 1.9113814074717639,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 879,
      "latestValue": 935,
      "absoluteChange": 56,
      "percentChange": 6.370875995449373,
      "unit": "discharges"
    }
  ]
}