{
  "schemaVersion": 3,
  "entityId": "pe-tracker-452110",
  "canonicalName": "SAGECREST HOSPITAL  CARROLLTON",
  "status": "disputed",
  "statusLabel": "Ownership evidence under review",
  "summary": "SAGECREST HOSPITAL  CARROLLTON was classified as PE-owned in the April 3, 2026 tracker snapshot, but the Phase 3 source reconciliation did not find a matching current CMS hospital enrollment and owner record. The ownership claim is therefore displayed as evidence under review rather than confirmed.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "single-source ownership baseline",
    "confidence": "low",
    "source_count": 3,
    "ownership_source_count": 1,
    "identity_match_method": "No current CMS enrollment match",
    "publication_decision": "Downgraded from confirmed ownership pending independent corroboration"
  },
  "identifiers": {
    "ccn": "452110",
    "npi": null,
    "historicalCcns": [],
    "aliases": []
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-altus-pe-tracker-452110",
      "from_entity_id": "Altus Healthcare",
      "to_entity_id": "pe-tracker-452110",
      "relationship_type": "owns",
      "effective_date": "July 2020",
      "end_date": "",
      "announcement_date": "",
      "status": "disputed",
      "confidence": "low",
      "source_ids": "source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker reports a PE ownership relationship, but a matching current CMS enrolled-owner record was not found in this review.",
      "review_notes": "Independent current ownership corroboration is required before returning this record to confirmed red status."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "July 2020",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "pe-tracker-452110-net_patient_revenue-06-30-2020",
      "entity_id": "pe-tracker-452110",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2019",
      "period_end": "06/30/2020",
      "value": "16920019",
      "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-452110-net_patient_revenue-08-31-2019",
      "entity_id": "pe-tracker-452110",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2018",
      "period_end": "08/31/2019",
      "value": "13223487",
      "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-452110-net_patient_revenue-08-31-2018",
      "entity_id": "pe-tracker-452110",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2017",
      "period_end": "08/31/2018",
      "value": "22839879",
      "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-452110-operating_expense-06-30-2020",
      "entity_id": "pe-tracker-452110",
      "metric_name": "operating_expense",
      "period_start": "09/01/2019",
      "period_end": "06/30/2020",
      "value": "23599748",
      "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-452110-operating_expense-08-31-2019",
      "entity_id": "pe-tracker-452110",
      "metric_name": "operating_expense",
      "period_start": "09/01/2018",
      "period_end": "08/31/2019",
      "value": "16622840",
      "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-452110-operating_expense-08-31-2018",
      "entity_id": "pe-tracker-452110",
      "metric_name": "operating_expense",
      "period_start": "09/01/2017",
      "period_end": "08/31/2018",
      "value": "20989564",
      "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-452110-net_income-06-30-2020",
      "entity_id": "pe-tracker-452110",
      "metric_name": "net_income",
      "period_start": "09/01/2019",
      "period_end": "06/30/2020",
      "value": "-6661238",
      "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-452110-net_income-08-31-2019",
      "entity_id": "pe-tracker-452110",
      "metric_name": "net_income",
      "period_start": "09/01/2018",
      "period_end": "08/31/2019",
      "value": "-1879069",
      "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-452110-net_income-08-31-2018",
      "entity_id": "pe-tracker-452110",
      "metric_name": "net_income",
      "period_start": "09/01/2017",
      "period_end": "08/31/2018",
      "value": "1851490",
      "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-452110-total_assets-06-30-2020",
      "entity_id": "pe-tracker-452110",
      "metric_name": "total_assets",
      "period_start": "09/01/2019",
      "period_end": "06/30/2020",
      "value": "6485343",
      "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-452110-total_assets-08-31-2019",
      "entity_id": "pe-tracker-452110",
      "metric_name": "total_assets",
      "period_start": "09/01/2018",
      "period_end": "08/31/2019",
      "value": "2565644",
      "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-452110-total_assets-08-31-2018",
      "entity_id": "pe-tracker-452110",
      "metric_name": "total_assets",
      "period_start": "09/01/2017",
      "period_end": "08/31/2018",
      "value": "7384511",
      "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-452110-total_liabilities-06-30-2020",
      "entity_id": "pe-tracker-452110",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2019",
      "period_end": "06/30/2020",
      "value": "20284579",
      "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-452110-total_liabilities-08-31-2019",
      "entity_id": "pe-tracker-452110",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2018",
      "period_end": "08/31/2019",
      "value": "3778482",
      "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-452110-total_liabilities-08-31-2018",
      "entity_id": "pe-tracker-452110",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2017",
      "period_end": "08/31/2018",
      "value": "6425203",
      "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-452110-fte_employees-06-30-2020",
      "entity_id": "pe-tracker-452110",
      "metric_name": "fte_employees",
      "period_start": "09/01/2019",
      "period_end": "06/30/2020",
      "value": "76.26",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-fte_employees-08-31-2019",
      "entity_id": "pe-tracker-452110",
      "metric_name": "fte_employees",
      "period_start": "09/01/2018",
      "period_end": "08/31/2019",
      "value": "53.33",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-fte_employees-08-31-2018",
      "entity_id": "pe-tracker-452110",
      "metric_name": "fte_employees",
      "period_start": "09/01/2017",
      "period_end": "08/31/2018",
      "value": "62.92",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-beds-06-30-2020",
      "entity_id": "pe-tracker-452110",
      "metric_name": "beds",
      "period_start": "09/01/2019",
      "period_end": "06/30/2020",
      "value": "60",
      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-beds-08-31-2019",
      "entity_id": "pe-tracker-452110",
      "metric_name": "beds",
      "period_start": "09/01/2018",
      "period_end": "08/31/2019",
      "value": "60",
      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-beds-08-31-2018",
      "entity_id": "pe-tracker-452110",
      "metric_name": "beds",
      "period_start": "09/01/2017",
      "period_end": "08/31/2018",
      "value": "60",
      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-patient_days-06-30-2020",
      "entity_id": "pe-tracker-452110",
      "metric_name": "patient_days",
      "period_start": "09/01/2019",
      "period_end": "06/30/2020",
      "value": "2076",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-patient_days-08-31-2019",
      "entity_id": "pe-tracker-452110",
      "metric_name": "patient_days",
      "period_start": "09/01/2018",
      "period_end": "08/31/2019",
      "value": "4969",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-patient_days-08-31-2018",
      "entity_id": "pe-tracker-452110",
      "metric_name": "patient_days",
      "period_start": "09/01/2017",
      "period_end": "08/31/2018",
      "value": "761",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-discharges-06-30-2020",
      "entity_id": "pe-tracker-452110",
      "metric_name": "discharges",
      "period_start": "09/01/2019",
      "period_end": "06/30/2020",
      "value": "176",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-discharges-08-31-2019",
      "entity_id": "pe-tracker-452110",
      "metric_name": "discharges",
      "period_start": "09/01/2018",
      "period_end": "08/31/2019",
      "value": "200",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "pe-tracker-452110-discharges-08-31-2018",
      "entity_id": "pe-tracker-452110",
      "metric_name": "discharges",
      "period_start": "09/01/2017",
      "period_end": "08/31/2018",
      "value": "31",
      "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": [],
  "directConnections": [
    "Reported parent system or portfolio company: Altus Healthcare.",
    "Reported investment sponsor: BTG Pactual, ZT Corporate."
  ],
  "actions": [],
  "contradictions": [
    {
      "topic": "Current ownership corroboration",
      "claim_a": "The April 3, 2026 tracker snapshot classifies the facility as currently PE-owned.",
      "claim_b": "No matching current CMS enrollment and Hospital All Owners chain was found in the Phase 3 automated review.",
      "resolution_status": "Open; record displayed as evidence under review."
    }
  ],
  "limitations": [
    "No matching current CMS hospital enrollment was found by CCN or a unique facility-name, city, and state match."
  ],
  "unavailableFields": [
    "NPI",
    "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-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": "low",
    "nodes": [
      {
        "id": "facility:pe-tracker-452110",
        "label": "SAGECREST HOSPITAL  CARROLLTON",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:btg-pactual-zt-corporate",
        "label": "BTG Pactual, ZT Corporate",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:altus-healthcare",
        "label": "Altus Healthcare",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      }
    ],
    "edges": [
      {
        "id": "organization:btg-pactual-zt-corporate->organization:altus-healthcare",
        "from": "organization:btg-pactual-zt-corporate",
        "to": "organization:altus-healthcare",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:altus-healthcare->facility:pe-tracker-452110",
        "from": "organization:altus-healthcare",
        "to": "facility:pe-tracker-452110",
        "relationship": "reported ownership or operating chain",
        "confidence": "low",
        "sourceIds": [
          "source-pesp-hospital-tracker"
        ],
        "note": "Tracker attribution is retained for review; current CMS corroboration was not resolved."
      }
    ],
    "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.",
      "This chain remains under review because current CMS corroboration was not resolved."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "08/31/2018",
      "latestPeriod": "06/30/2020",
      "earliestValue": 22839879,
      "latestValue": 16920019,
      "absoluteChange": -5919860,
      "percentChange": -25.918963931463914,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "08/31/2018",
      "latestPeriod": "06/30/2020",
      "earliestValue": 20989564,
      "latestValue": 23599748,
      "absoluteChange": 2610184,
      "percentChange": 12.435627533759158,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "08/31/2018",
      "latestPeriod": "06/30/2020",
      "earliestValue": 1851490,
      "latestValue": -6661238,
      "absoluteChange": -8512728,
      "percentChange": -459.7771524555898,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "08/31/2018",
      "latestPeriod": "06/30/2020",
      "earliestValue": 7384511,
      "latestValue": 6485343,
      "absoluteChange": -899168,
      "percentChange": -12.176405451897898,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "08/31/2018",
      "latestPeriod": "06/30/2020",
      "earliestValue": 6425203,
      "latestValue": 20284579,
      "absoluteChange": 13859376,
      "percentChange": 215.7033170780752,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "08/31/2018",
      "latestPeriod": "06/30/2020",
      "earliestValue": 62.92,
      "latestValue": 76.26,
      "absoluteChange": 13.340000000000003,
      "percentChange": 21.201525746980295,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "08/31/2018",
      "latestPeriod": "06/30/2020",
      "earliestValue": 60,
      "latestValue": 60,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "08/31/2018",
      "latestPeriod": "06/30/2020",
      "earliestValue": 761,
      "latestValue": 2076,
      "absoluteChange": 1315,
      "percentChange": 172.79894875164257,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "08/31/2018",
      "latestPeriod": "06/30/2020",
      "earliestValue": 31,
      "latestValue": 176,
      "absoluteChange": 145,
      "percentChange": 467.741935483871,
      "unit": "discharges"
    }
  ]
}