{
  "schemaVersion": 3,
  "entityId": "pe-tracker-670062",
  "canonicalName": "BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for CR EMERGENCY ROOM 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": "670062",
    "npi": "1407010622",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "CR EMERGENCY ROOM LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-baylorscottwhitehealthemerus-pe-tracker-670062",
      "from_entity_id": "Baylor Scott & White HealthEmerus",
      "to_entity_id": "pe-tracker-670062",
      "relationship_type": "owns",
      "effective_date": "",
      "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 Baylor Scott & White HealthEmerus 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": [],
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      "unit": "USD",
      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    {
      "metric_id": "pe-tracker-670062-net_patient_revenue-12-31-2021",
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      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
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      "entity_id": "pe-tracker-670062",
      "metric_name": "operating_expense",
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      "metric_id": "pe-tracker-670062-operating_expense-12-31-2022",
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  ],
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    {
      "organization": "BAYLOR HEALTH CARE SYSTEM",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "07/01/2012",
      "percentage_ownership": "51",
      "investment_firm": false,
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    },
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      "organization": "JABA INTEREST LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/16/2014",
      "percentage_ownership": "5.17",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "THANH TRAN",
      "role": "CORPORATE OFFICER",
      "association_date": "11/09/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "THANH TRAN",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "11/09/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EMERUS MANAGEMENT COMPANY, LLC",
      "role": "5% OR GREATER SECURITY INTEREST",
      "association_date": "01/12/2011",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EMERUS MANAGEMENT COMPANY, LLC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "07/01/2012",
      "percentage_ownership": "100",
      "investment_firm": false,
      "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": "04/30/2012",
      "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": "01/14/2011",
      "percentage_ownership": "49",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WELSH CARSON ANDERSON & STOWE XII",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "09/01/2015",
      "percentage_ownership": "13.37",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BAYLOR UNIVERSITY MEDICAL CENTER",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "07/01/2012",
      "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: Baylor Scott & White HealthEmerus.",
    "Reported investment sponsor: Welsh, Carson, Anderson & Stowe."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [],
  "unavailableFields": [
    "Precise acquisition date",
    "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-670062",
        "label": "BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY",
        "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:emerus-management-company-llc",
        "label": "EMERUS MANAGEMENT COMPANY, LLC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:baylor-health-care-system:0",
        "label": "BAYLOR HEALTH CARE SYSTEM",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:vanessa-smith:1",
        "label": "VANESSA SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:vanessa-smith:2",
        "label": "VANESSA SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:emerus-group-holdings-lp:3",
        "label": "EMERUS GROUP HOLDINGS LP",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:ebd-jv-llp:4",
        "label": "EBD JV, LLP",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:john-middlebrook:5",
        "label": "JOHN MIDDLEBROOK",
        "kind": "cms_owner_or_controller",
        "evidence": "GENERAL PARTNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:john-middlebrook:6",
        "label": "JOHN MIDDLEBROOK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:emerus-intermediate-holdings-inc:7",
        "label": "EMERUS INTERMEDIATE HOLDINGS INC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:toby-hamilton:8",
        "label": "TOBY HAMILTON",
        "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": "GENERAL PARTNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:toby-hamilton:10",
        "label": "TOBY HAMILTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:jaba-interest-llc:11",
        "label": "JABA INTEREST LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:thanh-tran:12",
        "label": "THANH TRAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:thanh-tran:13",
        "label": "THANH TRAN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:emerus-management-company-llc:14",
        "label": "EMERUS MANAGEMENT COMPANY, LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER SECURITY INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:welsh-carson-anderson-and-stowe->organization:emerus-management-company-llc",
        "from": "organization:welsh-carson-anderson-and-stowe",
        "to": "organization:emerus-management-company-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:emerus-management-company-llc->facility:pe-tracker-670062",
        "from": "organization:emerus-management-company-llc",
        "to": "facility:pe-tracker-670062",
        "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:baylor-health-care-system:0->facility:pe-tracker-670062",
        "from": "cms-owner:baylor-health-care-system:0",
        "to": "facility:pe-tracker-670062",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 51% reported ownership · associated 07/01/2012"
      },
      {
        "id": "cms-owner:vanessa-smith:1->facility:pe-tracker-670062",
        "from": "cms-owner:vanessa-smith:1",
        "to": "facility:pe-tracker-670062",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 11/09/2022"
      },
      {
        "id": "cms-owner:vanessa-smith:2->facility:pe-tracker-670062",
        "from": "cms-owner:vanessa-smith:2",
        "to": "facility:pe-tracker-670062",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 11/09/2022"
      },
      {
        "id": "cms-owner:emerus-group-holdings-lp:3->facility:pe-tracker-670062",
        "from": "cms-owner:emerus-group-holdings-lp:3",
        "to": "facility:pe-tracker-670062",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 49% reported ownership · associated 09/01/2015"
      },
      {
        "id": "cms-owner:ebd-jv-llp:4->facility:pe-tracker-670062",
        "from": "cms-owner:ebd-jv-llp:4",
        "to": "facility:pe-tracker-670062",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/01/2012"
      },
      {
        "id": "cms-owner:john-middlebrook:5->facility:pe-tracker-670062",
        "from": "cms-owner:john-middlebrook:5",
        "to": "facility:pe-tracker-670062",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "GENERAL PARTNERSHIP INTEREST · associated 08/11/2009"
      },
      {
        "id": "cms-owner:john-middlebrook:6->facility:pe-tracker-670062",
        "from": "cms-owner:john-middlebrook:6",
        "to": "facility:pe-tracker-670062",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/11/2009"
      },
      {
        "id": "cms-owner:emerus-intermediate-holdings-inc:7->facility:pe-tracker-670062",
        "from": "cms-owner:emerus-intermediate-holdings-inc:7",
        "to": "facility:pe-tracker-670062",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 49% reported ownership · associated 09/01/2015"
      },
      {
        "id": "cms-owner:toby-hamilton:8->facility:pe-tracker-670062",
        "from": "cms-owner:toby-hamilton:8",
        "to": "facility:pe-tracker-670062",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5.92% reported ownership · associated 08/01/2008"
      },
      {
        "id": "cms-owner:toby-hamilton:9->facility:pe-tracker-670062",
        "from": "cms-owner:toby-hamilton:9",
        "to": "facility:pe-tracker-670062",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "GENERAL PARTNERSHIP INTEREST · associated 08/01/2008"
      },
      {
        "id": "cms-owner:toby-hamilton:10->facility:pe-tracker-670062",
        "from": "cms-owner:toby-hamilton:10",
        "to": "facility:pe-tracker-670062",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 08/01/2008"
      },
      {
        "id": "cms-owner:jaba-interest-llc:11->facility:pe-tracker-670062",
        "from": "cms-owner:jaba-interest-llc:11",
        "to": "facility:pe-tracker-670062",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5.17% reported ownership · associated 10/16/2014"
      },
      {
        "id": "cms-owner:thanh-tran:12->facility:pe-tracker-670062",
        "from": "cms-owner:thanh-tran:12",
        "to": "facility:pe-tracker-670062",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 11/09/2022"
      },
      {
        "id": "cms-owner:thanh-tran:13->facility:pe-tracker-670062",
        "from": "cms-owner:thanh-tran:13",
        "to": "facility:pe-tracker-670062",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 11/09/2022"
      },
      {
        "id": "cms-owner:emerus-management-company-llc:14->facility:pe-tracker-670062",
        "from": "cms-owner:emerus-management-company-llc:14",
        "to": "facility:pe-tracker-670062",
        "relationship": "holds a security interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER SECURITY INTEREST · associated 01/12/2011"
      }
    ],
    "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": 54371130,
      "latestValue": 53062602,
      "absoluteChange": -1308528,
      "percentChange": -2.406659563632391,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 40624267,
      "latestValue": 45120332,
      "absoluteChange": 4496065,
      "percentChange": 11.067436613687084,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 15859989,
      "latestValue": 10538249,
      "absoluteChange": -5321740,
      "percentChange": -33.554499943221906,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 136809637,
      "latestValue": 152173380,
      "absoluteChange": 15363743,
      "percentChange": 11.230015177951243,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 35590694,
      "latestValue": 30383831,
      "absoluteChange": -5206863,
      "percentChange": -14.629843969887185,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 806304,
      "latestValue": 1209045,
      "absoluteChange": 402741,
      "percentChange": 49.94902666984164,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 134.52,
      "latestValue": 143.86,
      "absoluteChange": 9.340000000000003,
      "percentChange": 6.943205471305385,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 40,
      "latestValue": 40,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1668,
      "latestValue": 894,
      "absoluteChange": -774,
      "percentChange": -46.402877697841724,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 528,
      "latestValue": 347,
      "absoluteChange": -181,
      "percentChange": -34.28030303030303,
      "unit": "discharges"
    }
  ]
}
