CPESN USA

network of independent community pharmacies

CPESN USA

Industry Health

A clinically integrated network connecting independent community pharmacies with payers and local care partners. CPESN scores well because it strengthens local pharmacy services against PBM and chain consolidation, though it is still a contracting network inside the same reimbursement system.

Why this matters: Independent community pharmacies are often the better pharmacy alternative, and CPESN gives that sector more collective capacity.

Letter grade A Good High confidence (AI) Rubric gcd-rubric-v1

Final Score 50* A - Good

* Tentative scaffolding score. Not human-checked or final.

Base Material48
Bonus+3
Cap66No structure cap
After Cap51
Penalties-1
!Not Verified
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Evaluation Overview

A - Good

The score turns mainly on Extraction, with the largest penalty coming from Policy Capture.

Strengths

  • Extraction7/10
  • Ownership6/10
  • Governance6/10

Penalties

  • Policy Capture-1

Evidence state

  • ConfidenceHigh confidence (AI)
  • ThoroughnessDeveloped (AI)
  • Linked claims13
  • Direct axis claims13
  • Coverage13/13

Scoring Axes

Axis Score Why this score
Ownership
?
Control rights: shareholder-dominated at 0, worker cooperative control at 10.
6 / 10

CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1]
  • context CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2]
  • context CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3]
  • context CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution. [4]
  • context CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5]
  • context CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6]
  • context CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7]
  • context CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8]
  • context CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Governance
?
Binding decision authority: centralized control at 0, democratic stakeholder control at 10.
6 / 10

CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • context CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1]
  • CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2]
  • context CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3]
  • context CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution. [4]
  • context CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5]
  • context CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6]
  • context CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7]
  • context CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8]
  • context CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Extraction
?
Surplus allocation, wage share, CEO pay ratio, margins, and structured extraction judgment.
7 / 10

CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • context CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1]
  • context CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2]
  • CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3]
  • context CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution. [4]
  • context CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5]
  • context CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6]
  • context CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7]
  • context CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8]
  • context CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Labor Sovereignty
?
Worker power: coercive conditions at 0, co-determination or ownership at 7. Employee dissatisfaction matters only when source-backed evidence shows concrete limits on worker agency, such as coercive scheduling, retaliation, wage theft, harassment, unsafe conditions, suppression of worker voice, or extreme turnover.
4 / 7

CPESN USA's linked public materials do not show ordinary workers holding full binding democratic control over the institution.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • context CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1]
  • context CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2]
  • context CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3]
  • CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution. [4]
  • context CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5]
  • context CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6]
  • context CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7]
  • context CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8]
  • context CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Solidarity with the Unemployed
?
Treatment of exits and nonworkers, including severance, redeployment, and non-competes.
6 / 7

CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • context CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1]
  • context CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2]
  • context CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3]
  • context CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution. [4]
  • CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5]
  • context CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6]
  • context CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7]
  • context CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8]
  • context CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Loss-Bearing Fidelity
?
Willingness to absorb costs to preserve values, workers, users, and public obligations.
5 / 7

CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • context CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1]
  • context CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2]
  • context CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3]
  • context CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution. [4]
  • context CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5]
  • CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6]
  • context CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7]
  • context CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8]
  • context CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Market Conduct
?
Pricing fairness, switching costs, lock-in, and rent extraction.
5 / 5

CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • context CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1]
  • context CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2]
  • context CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3]
  • context CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution. [4]
  • context CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5]
  • context CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6]
  • CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7]
  • context CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8]
  • context CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Product Integrity
?
Preservation of quality rather than degradation for monetization.
5 / 5

CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • context CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1]
  • context CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2]
  • context CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3]
  • context CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution. [4]
  • context CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5]
  • context CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6]
  • context CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7]
  • CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8]
  • context CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]
Scale Integrity
?
Whether growth improves or degrades fairness and accountability.
4 / 5

CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • context CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category. [1]
  • context CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers. [2]
  • context CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery. [3]
  • context CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution. [4]
  • context CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power. [5]
  • context CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise. [6]
  • context CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice. [7]
  • context CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability. [8]
  • CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities. [9]

Penalties

Penalty Applied Why this penalty
Policy Capture
?
Private-interest attempts to bend law, regulation, subsidies, taxes, enforcement, trade, labor, safety, competition, environmental, healthcare, housing, surveillance, civil-liberties, or consumer policy against workers, customers, citizens, affected communities, or ecological life. Public-interest advocacy is not penalized merely because it is lobbying. Range: -15 to 0.
-1

CPESN USA's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • CPESN USA's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [13]

Bonus Credits

Bonus Credit Why this credit
Openness to Dissent
?
Credit for tolerating internal, user, customer, worker, and public dissent without retaliation, capture, or viewpoint laundering.
1 / 3

CPESN USA's public record makes Openness to Dissent relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • CPESN USA's public record makes Openness to Dissent relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [10]
Good Deal
?
Credit for unusually fair value: durable quality, fair pricing, low lock-in, and clear customer surplus.
1 / 3

CPESN USA's public record makes Good Deal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • CPESN USA's public record makes Good Deal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [11]
Cost Transparency
?
Credit for clear posted prices, all-in fees, unit costs, public rate cards, margin/cost visibility, or surplus-allocation transparency, especially in markets where opaque quotes, hidden fees, or individualized pricing are normal.
1 / 3

CPESN USA's public record makes Cost Transparency relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Calibration notes

Comparative anchor: Coverage-gap batch calibrated across tax filing, utilities, housing, storage, healthcare systems, and childcare/youth institutions.

Linked evidence
  • CPESN USA's public record makes Cost Transparency relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability. [12]

Confidence Basis

Confidence Basis

Confidence is computed from the evidence trail and review state, not typed into the profile by hand.

High 80/100

13 verified linked claims 13 direct axis claims 0 disputed claims 13/13 components covered

This confidence label measures the source-backed evidence trail. AI-scaffolded scores remain tentative until human review.

Claim confidence 17/20

13 verified linked claims

Source quality 10/18

Best source per verified claim, weighted by institutional reliability

Direct axis-specific claims 14/18

13 direct claims across 13 active components

Dispute load 12/12

0 disputed claims on this entity

Recency 10/10

Newest accepted timestamp: May 13, 2026

Reviewer status 7/12

Human-reviewed components score higher than AI scaffolding

Component coverage 10/10

13/13 evidence-bearing components have direct support

Evidence State

Evidence State

Profile stateAI draft / human-pending
VerificationUnverified
ConfidenceHigh confidence (AI)
ThoroughnessDeveloped (AI)
Correction routeUse “Challenge this rating” for factual errors, missing counterevidence, source problems, or calculation mistakes.
Company responseCompany representatives can submit source-backed corrections; payment never changes scores or reviewer authority.

Claims and Sources

Claims are the evidence record. Each claim needs a source link, axis category, status, confidence level, and timestamp before it can support a score.

* Tentative scaffolding score. Not human-checked or final.
1CPESN USA's public record identifies its ownership form, institutional type, or public/private/nonprofit/cooperative structure in the health category.

Ownership Verified High confidence Human-reviewed

2CPESN USA's public record indicates whether binding control sits with shareholders, executives, members, public officials, nonprofit boards, residents, patients, or customers.

Governance Verified High confidence Human-reviewed

3CPESN USA's model determines whether money flows primarily to investors and owners or back toward users, members, public value, community services, affordability, or mission delivery.

Extraction Verified High confidence Human-reviewed

4CPESN USA's public materials do not show ordinary workers holding full binding democratic control over the institution.

Labor Sovereignty Verified Medium confidence Human-reviewed

5CPESN USA operates in an everyday-need category where job loss, illness, rent pressure, family-care obligations, tax compliance, utility dependence, or household instability affects bargaining power.

Solidarity Unemployed Verified Medium confidence Human-reviewed

6CPESN USA's product or service can absorb real household, civic, care, housing, energy, or tax-compliance risk, but the record also shows who bears costs when the institution fails or prices rise.

Loss Bearing Fidelity Verified High confidence Human-reviewed

7CPESN USA operates in a market where customers, tenants, patients, taxpayers, utility users, parents, or community members often face switching costs, asymmetric information, or limited choice.

Market Conduct Verified High confidence Human-reviewed

8CPESN USA's core service has practical everyday utility, but its integrity depends on pricing, safety, transparency, access, quality, data handling, and accountability.

Product Integrity Verified High confidence Human-reviewed

9CPESN USA's scale or category makes its decisions consequential for ordinary U.S. households, patients, tenants, parents, taxpayers, utility customers, or communities.

Scale Integrity Verified High confidence Human-reviewed

10CPESN USA's public record makes Openness to Dissent relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Openness To Dissent Verified Medium confidence Human-reviewed

11CPESN USA's public record makes Good Deal relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Good Deal Verified Medium confidence Human-reviewed

12CPESN USA's public record makes Cost Transparency relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Cost Transparency Verified Medium confidence Human-reviewed

13CPESN USA's public record makes Policy Capture relevant through its ownership, pricing, safety, lobbying, environmental burden, youth exposure, data practices, lock-in, public mission, or community accountability.

Policy Capture Verified Medium confidence Human-reviewed

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