{
  "schemaVersion": 3,
  "entityId": "pe-tracker-452079",
  "canonicalName": "KINDRED HOSPTIAL EL PASO",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "KINDRED HOSPTIAL EL PASO is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for SCCI HOSPITAL - EL PASO 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": "medium",
    "source_count": 5,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "452079",
    "npi": "1013993559",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "SCCI HOSPITAL - EL PASO LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "KINDRED HOSPITAL EL PASO",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-scionhealth-pe-tracker-452079",
      "from_entity_id": "ScionHealth",
      "to_entity_id": "pe-tracker-452079",
      "relationship_type": "owns",
      "effective_date": "December 2021",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies ScionHealth 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": "December 2021",
      "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": "08/31/2024",
      "value": "18883747",
      "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"
    },
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      "metric_id": "pe-tracker-452079-net_patient_revenue-08-31-2023",
      "entity_id": "pe-tracker-452079",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "22490309",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
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    {
      "metric_id": "pe-tracker-452079-net_patient_revenue-08-31-2022",
      "entity_id": "pe-tracker-452079",
      "metric_name": "net_patient_revenue",
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      "period_end": "08/31/2022",
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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-452079-operating_expense-08-31-2024",
      "entity_id": "pe-tracker-452079",
      "metric_name": "operating_expense",
      "period_start": "09/01/2023",
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      "value": "21985412",
      "unit": "USD",
      "better_when": "context_dependent",
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    },
    {
      "metric_id": "pe-tracker-452079-operating_expense-08-31-2023",
      "entity_id": "pe-tracker-452079",
      "metric_name": "operating_expense",
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      "metric_id": "pe-tracker-452079-operating_expense-08-31-2022",
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      "better_when": "context_dependent",
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    },
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      "metric_id": "pe-tracker-452079-net_income-08-31-2024",
      "entity_id": "pe-tracker-452079",
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      "metric_id": "pe-tracker-452079-net_income-08-31-2023",
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    },
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  ],
  "cmsOwnerRecords": [
    {
      "organization": "KINDRED HEALTHCARE OPERATING LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "02/26/1998",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
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    },
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      "percentage_ownership": "100",
      "investment_firm": false,
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    },
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      "investment_firm": false,
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      "holding_company": false,
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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": "DEANNA SCHIAVONE",
      "role": "CORPORATE OFFICER",
      "association_date": "08/22/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KNIGHT HEALTH HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/23/2021",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL BEAN",
      "role": "CORPORATE OFFICER",
      "association_date": "12/14/2004",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KNIGHT HEALTH LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/23/2021",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KNIGHT INTERMEDIATE HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/23/2021",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SCCI HOSPITALS OF AMERICA LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "10/30/2000",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KENTUCKY HOSPITAL HOLDINGS JV LP",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "07/02/2018",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LINN BILLINGSLEY",
      "role": "CORPORATE OFFICER",
      "association_date": "10/01/2025",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TRIUMPH HEALTHCARE SECOND HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "08/29/2005",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AMERICA JONES",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "06/03/2017",
      "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: ScionHealth.",
    "Reported investment sponsor: Apollo Global Management."
  ],
  "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."
  ],
  "unavailableFields": [
    "Official facility URL",
    "Current CMS overall rating"
  ],
  "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"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:pe-tracker-452079",
        "label": "KINDRED HOSPTIAL EL PASO",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:apollo-global-management",
        "label": "Apollo Global Management",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:kentucky-hospital-holdings-jv-lp",
        "label": "Kentucky Hospital Holdings JV LP",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:kindred-healthcare-operating-llc:0",
        "label": "KINDRED HEALTHCARE OPERATING LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:kentucky-hospital-intermediate-llc:1",
        "label": "KENTUCKY HOSPITAL INTERMEDIATE LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:kindred-healthcare-llc:2",
        "label": "KINDRED HEALTHCARE LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:triumph-healthcare-holdings-llc:3",
        "label": "TRIUMPH HEALTHCARE HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:scott-graeser:4",
        "label": "SCOTT GRAESER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:triumph-healthcare-third-holdings-llc:5",
        "label": "TRIUMPH HEALTHCARE THIRD HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:dana-rock:6",
        "label": "DANA ROCK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:johnetta-traylor:7",
        "label": "JOHNETTA TRAYLOR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:kentucky-hospital-holdings-llc:8",
        "label": "KENTUCKY HOSPITAL HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:kindred-rehab-hospital-holdings-llc:9",
        "label": "KINDRED REHAB HOSPITAL HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:scci-health-services-llc:10",
        "label": "SCCI HEALTH SERVICES LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:deanna-schiavone:11",
        "label": "DEANNA SCHIAVONE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:knight-health-holdings-llc:12",
        "label": "KNIGHT HEALTH HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:michael-bean:13",
        "label": "MICHAEL BEAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:knight-health-llc:14",
        "label": "KNIGHT HEALTH LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->organization:kentucky-hospital-holdings-jv-lp",
        "from": "organization:apollo-global-management",
        "to": "organization:kentucky-hospital-holdings-jv-lp",
        "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:kentucky-hospital-holdings-jv-lp->facility:pe-tracker-452079",
        "from": "organization:kentucky-hospital-holdings-jv-lp",
        "to": "facility:pe-tracker-452079",
        "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:kindred-healthcare-operating-llc:0->facility:pe-tracker-452079",
        "from": "cms-owner:kindred-healthcare-operating-llc:0",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/26/1998"
      },
      {
        "id": "cms-owner:kentucky-hospital-intermediate-llc:1->facility:pe-tracker-452079",
        "from": "cms-owner:kentucky-hospital-intermediate-llc:1",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/02/2018"
      },
      {
        "id": "cms-owner:kindred-healthcare-llc:2->facility:pe-tracker-452079",
        "from": "cms-owner:kindred-healthcare-llc:2",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 03/27/1998"
      },
      {
        "id": "cms-owner:triumph-healthcare-holdings-llc:3->facility:pe-tracker-452079",
        "from": "cms-owner:triumph-healthcare-holdings-llc:3",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 08/20/2004"
      },
      {
        "id": "cms-owner:scott-graeser:4->facility:pe-tracker-452079",
        "from": "cms-owner:scott-graeser:4",
        "to": "facility:pe-tracker-452079",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 08/19/2022"
      },
      {
        "id": "cms-owner:triumph-healthcare-third-holdings-llc:5->facility:pe-tracker-452079",
        "from": "cms-owner:triumph-healthcare-third-holdings-llc:5",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/26/2006"
      },
      {
        "id": "cms-owner:dana-rock:6->facility:pe-tracker-452079",
        "from": "cms-owner:dana-rock:6",
        "to": "facility:pe-tracker-452079",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 12/09/2024"
      },
      {
        "id": "cms-owner:johnetta-traylor:7->facility:pe-tracker-452079",
        "from": "cms-owner:johnetta-traylor:7",
        "to": "facility:pe-tracker-452079",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 12/09/2024"
      },
      {
        "id": "cms-owner:kentucky-hospital-holdings-llc:8->facility:pe-tracker-452079",
        "from": "cms-owner:kentucky-hospital-holdings-llc:8",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/02/2018"
      },
      {
        "id": "cms-owner:kindred-rehab-hospital-holdings-llc:9->facility:pe-tracker-452079",
        "from": "cms-owner:kindred-rehab-hospital-holdings-llc:9",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 06/15/2005"
      },
      {
        "id": "cms-owner:scci-health-services-llc:10->facility:pe-tracker-452079",
        "from": "cms-owner:scci-health-services-llc:10",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 10/30/2000"
      },
      {
        "id": "cms-owner:deanna-schiavone:11->facility:pe-tracker-452079",
        "from": "cms-owner:deanna-schiavone:11",
        "to": "facility:pe-tracker-452079",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 08/22/2022"
      },
      {
        "id": "cms-owner:knight-health-holdings-llc:12->facility:pe-tracker-452079",
        "from": "cms-owner:knight-health-holdings-llc:12",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/23/2021"
      },
      {
        "id": "cms-owner:michael-bean:13->facility:pe-tracker-452079",
        "from": "cms-owner:michael-bean:13",
        "to": "facility:pe-tracker-452079",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 12/14/2004"
      },
      {
        "id": "cms-owner:knight-health-llc:14->facility:pe-tracker-452079",
        "from": "cms-owner:knight-health-llc:14",
        "to": "facility:pe-tracker-452079",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/23/2021"
      }
    ],
    "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": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 23776621,
      "latestValue": 18883747,
      "absoluteChange": -4892874,
      "percentChange": -20.578508611463338,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 22622375,
      "latestValue": 21985412,
      "absoluteChange": -636963,
      "percentChange": -2.8156327529713394,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 1694479,
      "latestValue": -1586135,
      "absoluteChange": -3280614,
      "percentChange": -193.6060582633364,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 12003673,
      "latestValue": 6776278,
      "absoluteChange": -5227395,
      "percentChange": -43.548295592524056,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 7030656,
      "latestValue": 2318621,
      "absoluteChange": -4712035,
      "percentChange": -67.02127084584994,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "08/31/2020",
      "latestPeriod": "08/31/2022",
      "earliestValue": 1205418,
      "latestValue": 1619191,
      "absoluteChange": 413773,
      "percentChange": 34.326100987375334,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 135.5,
      "latestValue": 131,
      "absoluteChange": -4.5,
      "percentChange": -3.3210332103321036,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 72,
      "latestValue": 72,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 12331,
      "latestValue": 10381,
      "absoluteChange": -1950,
      "percentChange": -15.813802611304842,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 498,
      "latestValue": 424,
      "absoluteChange": -74,
      "percentChange": -14.859437751004014,
      "unit": "discharges"
    }
  ]
}