{
  "schemaVersion": 3,
  "entityId": "pe-tracker-390333",
  "canonicalName": "AHN EMERUS WESTMORELAND, LLC",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "AHN EMERUS WESTMORELAND, LLC is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for AHN EMERUS WESTMORELAND LLC. 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": "390333",
    "npi": "1699235374",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "AHN EMERUS WESTMORELAND LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "AHN HEMPFIELD NEIGHBORHOOD HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-alleghenyhealthnetworkemerus-pe-tracker-390333",
      "from_entity_id": "Allegheny Health Network/Emerus ",
      "to_entity_id": "pe-tracker-390333",
      "relationship_type": "owns",
      "effective_date": "September 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 Allegheny Health Network/Emerus  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": "September 2015",
      "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": "06/30/2024",
      "value": "47459104",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-390333-net_patient_revenue-06-30-2023",
      "entity_id": "pe-tracker-390333",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "43516730",
      "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-390333-net_patient_revenue-06-30-2022",
      "entity_id": "pe-tracker-390333",
      "metric_name": "net_patient_revenue",
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      "period_end": "06/30/2022",
      "value": "19905716",
      "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-390333-operating_expense-06-30-2024",
      "entity_id": "pe-tracker-390333",
      "metric_name": "operating_expense",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "46268007",
      "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-390333-operating_expense-06-30-2023",
      "entity_id": "pe-tracker-390333",
      "metric_name": "operating_expense",
      "period_start": "07/01/2022",
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      "unit": "USD",
      "better_when": "context_dependent",
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    },
    {
      "metric_id": "pe-tracker-390333-operating_expense-06-30-2022",
      "entity_id": "pe-tracker-390333",
      "metric_name": "operating_expense",
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      "unit": "USD",
      "better_when": "context_dependent",
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    },
    {
      "metric_id": "pe-tracker-390333-net_income-06-30-2024",
      "entity_id": "pe-tracker-390333",
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      "better_when": "context_dependent",
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    },
    {
      "metric_id": "pe-tracker-390333-net_income-06-30-2023",
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    },
    {
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    },
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    },
    {
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    },
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      "source_id": "source-cms-hcris",
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    },
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      "unit": "discharges",
      "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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  ],
  "cmsOwnerRecords": [
    {
      "organization": "VANESSA SMITH",
      "role": "CORPORATE OFFICER",
      "association_date": "07/28/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "VANESSA SMITH",
      "role": "OTHER",
      "association_date": "04/15/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
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    },
    {
      "organization": "AHN EMERUS LLC",
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      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ALLEGHENY HEALTH NETWORK",
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      "investment_firm": false,
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      "holding_company": false,
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      "medical_staffing_company": false
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    {
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      "holding_company": false,
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      "organization": "VICTOR SCHMERBECK",
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      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
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    },
    {
      "organization": "VICTOR SCHMERBECK",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "02/15/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
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      "medical_staffing_company": false
    },
    {
      "organization": "VICTOR SCHMERBECK",
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      "investment_firm": false,
      "private_equity_company": false,
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    },
    {
      "organization": "EMERUS INTERMEDIATE HOLDINGS INC",
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      "organization": "TOBY HAMILTON",
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      "association_date": "12/12/2017",
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      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
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    },
    {
      "organization": "EMERUS INVESTMENT COMPANY IX LLC",
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      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EMERUS INVESTMENT COMPANY II LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/12/2017",
      "percentage_ownership": "49",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EMERUS HOLDINGS, INC.",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/12/2017",
      "percentage_ownership": "49",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CYNTHIA DORUNDO",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/22/2019",
      "percentage_ownership": "",
      "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: Allegheny Health Network/Emerus .",
    "Reported investment sponsor: Welsh, Carson, Anderson & Stowe."
  ],
  "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-390333",
        "label": "AHN EMERUS WESTMORELAND, LLC",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:welsh-carson-anderson-and-stowe",
        "label": "Welsh, Carson, Anderson & Stowe",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:ahn-emerus-llc",
        "label": "AHN EMERUS LLC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:vanessa-smith:0",
        "label": "VANESSA SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:vanessa-smith:1",
        "label": "VANESSA SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:ahn-emerus-llc:2",
        "label": "AHN EMERUS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:allegheny-health-network:3",
        "label": "ALLEGHENY HEALTH NETWORK",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:highmark-health:4",
        "label": "HIGHMARK HEALTH",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:victor-schmerbeck:5",
        "label": "VICTOR SCHMERBECK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:victor-schmerbeck:6",
        "label": "VICTOR SCHMERBECK",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:victor-schmerbeck:7",
        "label": "VICTOR SCHMERBECK",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:emerus-intermediate-holdings-inc:8",
        "label": "EMERUS INTERMEDIATE HOLDINGS INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:toby-hamilton:9",
        "label": "TOBY HAMILTON",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:emerus-investment-company-ix-llc:10",
        "label": "EMERUS INVESTMENT COMPANY IX LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:emerus-investment-company-ii-llc:11",
        "label": "EMERUS INVESTMENT COMPANY II LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:emerus-holdings-inc:12",
        "label": "EMERUS HOLDINGS, INC.",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:cynthia-dorundo:13",
        "label": "CYNTHIA DORUNDO",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:welsh-carson-anderson-and-stowe->organization:ahn-emerus-llc",
        "from": "organization:welsh-carson-anderson-and-stowe",
        "to": "organization:ahn-emerus-llc",
        "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:ahn-emerus-llc->facility:pe-tracker-390333",
        "from": "organization:ahn-emerus-llc",
        "to": "facility:pe-tracker-390333",
        "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:vanessa-smith:0->facility:pe-tracker-390333",
        "from": "cms-owner:vanessa-smith:0",
        "to": "facility:pe-tracker-390333",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/28/2022"
      },
      {
        "id": "cms-owner:vanessa-smith:1->facility:pe-tracker-390333",
        "from": "cms-owner:vanessa-smith:1",
        "to": "facility:pe-tracker-390333",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 04/15/2020"
      },
      {
        "id": "cms-owner:ahn-emerus-llc:2->facility:pe-tracker-390333",
        "from": "cms-owner:ahn-emerus-llc:2",
        "to": "facility:pe-tracker-390333",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/12/2017"
      },
      {
        "id": "cms-owner:allegheny-health-network:3->facility:pe-tracker-390333",
        "from": "cms-owner:allegheny-health-network:3",
        "to": "facility:pe-tracker-390333",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 51% reported ownership · associated 12/12/2017"
      },
      {
        "id": "cms-owner:highmark-health:4->facility:pe-tracker-390333",
        "from": "cms-owner:highmark-health:4",
        "to": "facility:pe-tracker-390333",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · 51% reported ownership · associated 12/12/2017"
      },
      {
        "id": "cms-owner:victor-schmerbeck:5->facility:pe-tracker-390333",
        "from": "cms-owner:victor-schmerbeck:5",
        "to": "facility:pe-tracker-390333",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/22/2022"
      },
      {
        "id": "cms-owner:victor-schmerbeck:6->facility:pe-tracker-390333",
        "from": "cms-owner:victor-schmerbeck:6",
        "to": "facility:pe-tracker-390333",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 02/15/2020"
      },
      {
        "id": "cms-owner:victor-schmerbeck:7->facility:pe-tracker-390333",
        "from": "cms-owner:victor-schmerbeck:7",
        "to": "facility:pe-tracker-390333",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 02/15/2020"
      },
      {
        "id": "cms-owner:emerus-intermediate-holdings-inc:8->facility:pe-tracker-390333",
        "from": "cms-owner:emerus-intermediate-holdings-inc:8",
        "to": "facility:pe-tracker-390333",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 49% reported ownership · associated 12/12/2017"
      },
      {
        "id": "cms-owner:toby-hamilton:9->facility:pe-tracker-390333",
        "from": "cms-owner:toby-hamilton:9",
        "to": "facility:pe-tracker-390333",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 10.87% reported ownership · associated 12/12/2017"
      },
      {
        "id": "cms-owner:emerus-investment-company-ix-llc:10->facility:pe-tracker-390333",
        "from": "cms-owner:emerus-investment-company-ix-llc:10",
        "to": "facility:pe-tracker-390333",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 49% reported ownership · associated 12/12/2017"
      },
      {
        "id": "cms-owner:emerus-investment-company-ii-llc:11->facility:pe-tracker-390333",
        "from": "cms-owner:emerus-investment-company-ii-llc:11",
        "to": "facility:pe-tracker-390333",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 49% reported ownership · associated 12/12/2017"
      },
      {
        "id": "cms-owner:emerus-holdings-inc:12->facility:pe-tracker-390333",
        "from": "cms-owner:emerus-holdings-inc:12",
        "to": "facility:pe-tracker-390333",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 49% reported ownership · associated 12/12/2017"
      },
      {
        "id": "cms-owner:cynthia-dorundo:13->facility:pe-tracker-390333",
        "from": "cms-owner:cynthia-dorundo:13",
        "to": "facility:pe-tracker-390333",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/22/2019"
      }
    ],
    "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": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 19905716,
      "latestValue": 47459104,
      "absoluteChange": 27553388,
      "percentChange": 138.41947709893984,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 20252789,
      "latestValue": 46268007,
      "absoluteChange": 26015218,
      "percentChange": 128.4525207861495,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 2055428,
      "latestValue": 5525514,
      "absoluteChange": 3470086,
      "percentChange": 168.8254708994915,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 48891114,
      "latestValue": 55001727,
      "absoluteChange": 6110613,
      "percentChange": 12.49841228817163,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 53440282,
      "latestValue": 50232735,
      "absoluteChange": -3207547,
      "percentChange": -6.002114659499738,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 641726,
      "latestValue": 954362,
      "absoluteChange": 312636,
      "percentChange": 48.71798867429401,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 171.54,
      "latestValue": 184.91,
      "absoluteChange": 13.370000000000005,
      "percentChange": 7.794100501340798,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 40,
      "latestValue": 40,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 760,
      "latestValue": 1037,
      "absoluteChange": 277,
      "percentChange": 36.44736842105264,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 202,
      "latestValue": 394,
      "absoluteChange": 192,
      "percentChange": 95.04950495049505,
      "unit": "discharges"
    }
  ]
}