{
  "schemaVersion": 3,
  "entityId": "0013932547",
  "canonicalName": "HCA Florida Fort Walton-Destin Hospital",
  "status": "corporate_chain",
  "statusLabel": "For-profit corporate-chain hospital",
  "summary": "HCA Florida Fort Walton-Destin Hospital is a for-profit HCA Healthcare hospital in Fort Walton Beach. The warning shown here is corporate-chain accountability context, not a direct private-equity ownership claim; reviewed CMS and SEC sources identify HCA/HCA Healthcare ownership and parent-company compensation, while local CEO compensation was not publicly itemized.",
  "lastReviewed": "2026-06-25",
  "review": {
    "reviewer": "Codex HCA Florida Fort Walton-Destin research pass",
    "evidence_grade": "cms_enrollment_owner_chain_plus_hca_public_filings",
    "confidence": "high",
    "source_count": 9,
    "ownership_source_count": 4,
    "identity_match_method": "CMS CCN 100223, address match at 1000 Mar-Walt Dr, CMS enrollment NPI 1639128820, and HCA official facility page.",
    "publication_decision": "Publish as HCA Healthcare corporate-chain control with explicit no-direct-PE-claim and local-compensation-unavailable caveats."
  },
  "firstGlance": {
    "taxOwnershipType": "For-profit",
    "operator": "HCA Healthcare / HCA Florida Healthcare",
    "directPeOwnership": "No direct PE ownership claim supported by reviewed current sources",
    "peRelationship": "For-profit public-company hospital-chain ownership; no facility-level PE contract was verified in this pass",
    "institutionalShareholderContext": "HCA Healthcare is a public company; parent-company executive compensation and Florida segment revenue are disclosed in SEC filings. Facility-level local CEO compensation is not itemized in reviewed public sources.",
    "populationServedEstimate": 128067,
    "populationServedLabel": "HCA reports 128,067 patients treated in 2024; the hospital describes itself as serving Okaloosa, Walton, and Santa Rosa counties.",
    "careLevel": "331 licensed-bed acute-care hospital, Level II Trauma Center, advanced primary stroke center, behavioral health, open-heart/cardiovascular, cancer care, rehabilitation, pediatric ER, and Destin/Navarre freestanding ERs.",
    "currentCeo": "Kenneth “KC” Donahey, Chief Executive Officer",
    "previousRelevantCeo": "Zach McCluskey was CEO during the July 2024 50th anniversary coverage.",
    "confidence": "High for HCA ownership and CMS identity; high for current CEO from HCA official page; medium for CEO transition detail from local reporting; local compensation unavailable.",
    "bottomLine": "Fort Walton-Destin is the HCA Florida flagship acute-care record for the Okaloosa/Walton/Santa Rosa service area in this update. It links to HCA Florida Twin Cities and the broader HCA Florida hospital family, but the corporate-chain label is not a private-equity ownership label."
  },
  "communityImpact": {
    "populationServedEstimate": 128067,
    "populationServedLabel": "HCA Fort Walton-Destin reports 128,067 patients treated in 2024, 1,200+ employees, 180+ physicians, and 331 licensed beds.",
    "estimateMethod": "HCA official About Us statistics, retrieved 2026-06-25.",
    "catchmentDescription": "HCA describes the hospital as the only full-service acute-care hospital in Okaloosa, Walton, and Santa Rosa counties, with freestanding ERs in Destin and Navarre and a partnership with HCA Florida Twin Cities Hospital in Niceville.",
    "traumaCareLevel": "Level II Trauma Center per HCA facility page.",
    "publicFacingCaveat": "Community-impact facts are descriptive; they do not imply that ownership caused quality, labor, or access outcomes."
  },
  "qualityAndLaborContext": {
    "immediateJeopardy2026SourceStatus": "No 2026 CMS 2567/state inspection immediate-jeopardy review was completed in this pass.",
    "noCausationClaim": true,
    "note": "Current CMS general information lists a 3-star overall rating, one mortality measure better than national and none worse, one safety measure better and none worse, and four readmission measures worse than national. HCA’s facility page lists Level II trauma, advanced primary stroke, accredited chest pain, cancer, cardiovascular, behavioral health, rehabilitation, and ER capabilities."
  },
  "identifiers": {
    "ccn": "100223",
    "npi": "1639128820",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "FORT WALTON BEACH MEDICAL CENTER",
        "alias_type": "former_public_atlas_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "FORT WALTON BEACH MEDICAL CENTER INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "HCA FLORIDA FORT WALTON-DESTIN HOSPITAL",
        "alias_type": "cms_dba_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "HCA FLORIDA FORT WALTON-DESTIN HOSPITAL",
        "alias_type": "cms_care_compare_name",
        "source_id": "source-cms-hospital-general-information"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-hca-healthcare-owns-fort-walton-destin",
      "relationship_type": "owns",
      "effective_date": "2016-05-10",
      "end_date": "",
      "status": "confirmed",
      "source_ids": "source-cms-hospital-all-owners|source-cms-hospital-enrollments|source-hca-2025-10k",
      "plain_english_summary": "CMS Hospital All Owners lists HCA Inc. and HCA Healthcare Inc. as 100% indirect owners of Fort Walton Beach Medical Center Inc.; HCA’s Form 10-K reports Florida hospital operations."
    },
    {
      "relationship_id": "rel-hca-florida-brand-affiliation-fort-walton-destin",
      "relationship_type": "operates",
      "effective_date": "",
      "end_date": "",
      "status": "confirmed",
      "source_ids": "source-hca-fort-walton-home|source-hca-fort-walton-about|source-cms-hospital-general-information",
      "plain_english_summary": "HCA and CMS identify the facility as HCA Florida Fort Walton-Destin Hospital, part of the HCA Florida / HCA Healthcare hospital family."
    },
    {
      "relationship_id": "rel-no-direct-pe-fort-walton-destin",
      "relationship_type": "contracts_with",
      "effective_date": "",
      "end_date": "",
      "status": "searched_not_found",
      "source_ids": "source-cms-hospital-all-owners|source-cms-hospital-enrollments|source-hca-2026-proxy",
      "plain_english_summary": "This pass did not identify direct private-equity ownership or a facility-level PE-backed staffing/management contract; HCA’s historic PE/private-investor history is parent-company context, not current facility PE ownership."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "1974",
      "title": "Hospital founding era",
      "detail": "Local 50th-anniversary coverage says the hospital has operated under various names since its founding in 1974.",
      "sourceIds": [
        "source-getthecoast-50th"
      ]
    },
    {
      "date": "1994-04-07",
      "title": "CMS-enrolled corporation incorporated",
      "detail": "CMS enrollment lists Fort Walton Beach Medical Center Inc. as incorporated in Florida on April 7, 1994.",
      "sourceIds": [
        "source-cms-hospital-enrollments"
      ]
    },
    {
      "date": "2016-05-10",
      "title": "CMS owner chain association date",
      "detail": "Current CMS all-owner rows associate HCA Inc., HCA Healthcare Inc., Healthtrust Inc. - The Hospital Company, and Galen Holdco LLC with the enrolled hospital organization.",
      "sourceIds": [
        "source-cms-hospital-all-owners"
      ]
    },
    {
      "date": "2024-07-15",
      "title": "50th anniversary and regional role reported",
      "detail": "Local reporting described growth to about 330 beds, 1,200 employees, and roughly 400 doctors, and noted emergency services in Destin and Navarre plus rehabilitation in Destin.",
      "sourceIds": [
        "source-getthecoast-50th"
      ]
    },
    {
      "date": "2025-12-31",
      "title": "HCA Florida segment revenue disclosed",
      "detail": "HCA Healthcare’s 2025 Form 10-K reported 47 hospitals and 27 surgery centers in Florida and $17.856 billion of Florida facility revenue for 2025.",
      "sourceIds": [
        "source-hca-2025-10k"
      ]
    },
    {
      "date": "2026-02-01",
      "title": "KC Donahey CEO transition",
      "detail": "Local coverage reported Kenneth “KC” Donahey taking the CEO role on February 1 after serving at HCA Florida Oviedo Medical Center; HCA’s current About Us page lists KC Donahey as CEO.",
      "sourceIds": [
        "source-getthecoast-kc-donahey",
        "source-hca-fort-walton-about"
      ]
    },
    {
      "date": "2026-03-13",
      "title": "Parent-company executive compensation disclosed",
      "detail": "HCA Healthcare’s 2026 proxy lists Samuel N. Hazen’s 2025 total compensation as $26,456,606. This is parent-company named-executive compensation, not local hospital CEO compensation.",
      "sourceIds": [
        "source-hca-2026-proxy"
      ]
    }
  ],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "0013932547-net_patient_revenue-05/31/2024",
      "metric_name": "net_patient_revenue",
      "period_start": "",
      "period_end": "05/31/2024",
      "value": "369356770",
      "unit": "USD",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value; compare only like fields and compatible fiscal periods."
    },
    {
      "metric_id": "0013932547-net_income-05/31/2024",
      "metric_name": "net_income",
      "period_start": "",
      "period_end": "05/31/2024",
      "value": "155102472",
      "unit": "USD",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value; no causal claim is implied."
    },
    {
      "metric_id": "0013932547-total_assets-05/31/2024",
      "metric_name": "total_assets",
      "period_start": "",
      "period_end": "05/31/2024",
      "value": "233049887",
      "unit": "USD",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report balance-sheet field."
    },
    {
      "metric_id": "0013932547-total_liabilities-05/31/2024",
      "metric_name": "total_liabilities",
      "period_start": "",
      "period_end": "05/31/2024",
      "value": "-603450281",
      "unit": "USD",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report balance-sheet field. HCRIS sign conventions can differ from ordinary financial-statement display."
    },
    {
      "metric_id": "0013932547-contract_labor_direct_patient_care-05/31/2024",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "",
      "period_end": "05/31/2024",
      "value": "6671710",
      "unit": "USD",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report direct patient-care contract-labor field."
    },
    {
      "metric_id": "0013932547-beds-05/31/2024",
      "metric_name": "beds",
      "period_start": "",
      "period_end": "05/31/2024",
      "value": "217",
      "unit": "beds",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report staffed bed field; HCA website separately reports 331 licensed beds."
    },
    {
      "metric_id": "0013932547-fte_employees-05/31/2024",
      "metric_name": "fte_employees",
      "period_start": "",
      "period_end": "05/31/2024",
      "value": "777",
      "unit": "FTE",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report payroll FTE field."
    },
    {
      "metric_id": "0013932547-discharges-05/31/2024",
      "metric_name": "discharges",
      "period_start": "",
      "period_end": "05/31/2024",
      "value": "12671",
      "unit": "discharges",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report total discharge field."
    },
    {
      "metric_id": "0013932547-patient_days-05/31/2024",
      "metric_name": "patient_days",
      "period_start": "",
      "period_end": "05/31/2024",
      "value": "61435",
      "unit": "days",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report total patient-days field."
    },
    {
      "metric_id": "0013932547-hca_florida_revenue-2025",
      "metric_name": "hca_florida_revenue",
      "period_start": "2025-01-01",
      "period_end": "2025-12-31",
      "value": "17856000000",
      "unit": "USD",
      "source_id": "source-hca-2025-10k",
      "methodology_note": "HCA Healthcare 2025 Form 10-K states Florida facilities generated $17.856B in revenue in 2025."
    },
    {
      "metric_id": "0013932547-samuel_hazen_total_compensation-2025",
      "metric_name": "hca_ceo_samuel_hazen_total_compensation",
      "period_start": "2025-01-01",
      "period_end": "2025-12-31",
      "value": "26456606",
      "unit": "USD",
      "source_id": "source-hca-2026-proxy",
      "methodology_note": "Parent-company named-executive compensation from HCA Healthcare 2026 proxy; this is not local hospital CEO compensation."
    }
  ],
  "cmsOwnerRecords": [
    {
      "organization": "HCA INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "05/10/2016",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HCA HEALTHCARE INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "05/10/2016",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HERCULES HOLDING II",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "09/23/2016",
      "percentage_ownership": "22",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HEALTHTRUST INC - THE HOSPITAL COMPANY",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "05/10/2016",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GALEN HOLDCO LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "05/10/2016",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "FRISCO HOLDING II",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "05/10/2016",
      "percentage_ownership": "11.66",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "high",
    "nodes": [
      {
        "id": "facility:0013932547",
        "label": "HCA FLORIDA FORT WALTON-DESTIN HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:hca-healthcare",
        "label": "HCA Healthcare",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:hca-inc:0",
        "label": "HCA INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:hca-healthcare-inc:1",
        "label": "HCA HEALTHCARE INC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:hercules-holding-ii:2",
        "label": "HERCULES HOLDING II",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:healthtrust-inc-the-hospital-company:3",
        "label": "HEALTHTRUST INC - THE HOSPITAL COMPANY",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:galen-holdco-llc:4",
        "label": "GALEN HOLDCO LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:frisco-holding-ii:5",
        "label": "FRISCO HOLDING II",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:hca-healthcare->facility:0013932547",
        "from": "organization:hca-healthcare",
        "to": "facility:0013932547",
        "relationship": "reported ownership or operating chain",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-cms-hospital-enrollments",
          "source-hca-2025-10k",
          "source-hca-fort-walton-home",
          "source-hca-fort-walton-about",
          "source-cms-hospital-general-information",
          "source-cms-hospital-all-owners",
          "source-cms-hospital-enrollments",
          "source-hca-2026-proxy"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:hca-inc:0->facility:0013932547",
        "from": "cms-owner:hca-inc:0",
        "to": "facility:0013932547",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/10/2016"
      },
      {
        "id": "cms-owner:hca-healthcare-inc:1->facility:0013932547",
        "from": "cms-owner:hca-healthcare-inc:1",
        "to": "facility:0013932547",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/10/2016"
      },
      {
        "id": "cms-owner:hercules-holding-ii:2->facility:0013932547",
        "from": "cms-owner:hercules-holding-ii:2",
        "to": "facility:0013932547",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 22% reported ownership · associated 09/23/2016"
      },
      {
        "id": "cms-owner:healthtrust-inc-the-hospital-company:3->facility:0013932547",
        "from": "cms-owner:healthtrust-inc-the-hospital-company:3",
        "to": "facility:0013932547",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/10/2016"
      },
      {
        "id": "cms-owner:galen-holdco-llc:4->facility:0013932547",
        "from": "cms-owner:galen-holdco-llc:4",
        "to": "facility:0013932547",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/10/2016"
      },
      {
        "id": "cms-owner:frisco-holding-ii:5->facility:0013932547",
        "from": "cms-owner:frisco-holding-ii:5",
        "to": "facility:0013932547",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 11.66% reported ownership · associated 05/10/2016"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "ownershipConnections": [
    {
      "entityName": "HCA Healthcare Inc.",
      "entityKind": "public_company_parent",
      "relationship": "Parent / 100% indirect ownership layer in CMS owner records",
      "classification": "corporate_chain",
      "evidenceSourceIds": [
        "source-cms-hospital-all-owners",
        "source-hca-2025-10k"
      ],
      "note": "HCA is a for-profit public company. This is corporate-chain accountability context, not a PE ownership assertion."
    },
    {
      "entityName": "HCA Florida Twin Cities Hospital",
      "entityKind": "hospital",
      "relationship": "Nearby HCA Florida partner hospital in Niceville / Okaloosa County",
      "classification": "corporate_chain",
      "evidenceSourceIds": [
        "source-hca-fort-walton-home",
        "source-cms-hospital-general-information"
      ],
      "note": "HCA Fort Walton-Destin describes its services in partnership with HCA Florida Twin Cities Hospital."
    },
    {
      "entityName": "HCA Florida Healthcare",
      "entityKind": "regional_network",
      "relationship": "Florida HCA hospital family",
      "classification": "corporate_chain",
      "evidenceSourceIds": [
        "source-hca-2025-10k",
        "source-cms-hospital-general-information"
      ],
      "note": "This update links current CMS HCA Florida acute-care rows already present in the map and adds missing CMS rows for Citrus, Osceola, and North Florida."
    }
  ],
  "importantLinks": [
    {
      "label": "Official HCA Fort Walton-Destin page",
      "url": "https://www.hcafloridahealthcare.com/locations/fort-walton-destin-hospital",
      "sourceId": "source-hca-fort-walton-home",
      "note": "Address, services, HCA connection, 331-bed statement, and Twin Cities partnership."
    },
    {
      "label": "Official HCA Fort Walton-Destin About Us / CEO message",
      "url": "https://www.hcafloridahealthcare.com/locations/fort-walton-destin-hospital/about-us",
      "sourceId": "source-hca-fort-walton-about",
      "note": "KC Donahey CEO listing, 2024 patient count, employee/physician/beds statistics, community-health language."
    },
    {
      "label": "KC Donahey CEO image and transition article",
      "url": "https://www.getthecoast.com/new-ceo-takes-helm-at-hca-florida-fort-walton-destin-hospital/",
      "sourceId": "source-getthecoast-kc-donahey",
      "note": "Public local-news article surfaced by image search with KC Donahey portrait and CEO transition details."
    },
    {
      "label": "HCA 2026 proxy statement",
      "url": "https://www.sec.gov/Archives/edgar/data/860730/000119312526106142/d939252ddef14a.htm",
      "sourceId": "source-hca-2026-proxy",
      "note": "Parent-company 2025 named-executive compensation table."
    },
    {
      "label": "HCA 2025 Form 10-K",
      "url": "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm",
      "sourceId": "source-hca-2025-10k",
      "note": "Florida facility count, surgery-center count, and Florida segment revenue."
    },
    {
      "label": "CMS Hospital General Information",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "sourceId": "source-cms-hospital-general-information",
      "note": "CCN 100223 identity, ownership type, rating, mortality/safety/readmission group counts."
    }
  ],
  "descriptiveTrends": [],
  "systemConnections": [
    {
      "systemName": "HCA Florida Healthcare / HCA Healthcare",
      "relationship": "Corporate-chain facility family",
      "evidenceSourceIds": [
        "source-cms-hospital-general-information",
        "source-hca-2025-10k"
      ],
      "facilities": [
        {
          "name": "HCA FL WEST TAMPA HOSPITAL PART OF HCA FL SOUTH TAMPA HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "TAMPA",
          "state": "FL",
          "recordId": "0040433615",
          "note": "HILLSBOROUGH County"
        },
        {
          "name": "HCA FLORIDA AVENTURA HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "AVENTURA",
          "state": "FL",
          "recordId": "0000933180",
          "note": "MIAMI-DADE County"
        },
        {
          "name": "HCA FLORIDA BAYONET POINT HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "HUDSON",
          "state": "FL",
          "recordId": "0032734667",
          "note": "PASCO County"
        },
        {
          "name": "HCA FLORIDA BLAKE HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "BRADENTON",
          "state": "FL",
          "recordId": "0003434209",
          "note": "MANATEE County"
        },
        {
          "name": "HCA FLORIDA BRANDON HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "BRANDON",
          "state": "FL",
          "recordId": "100243",
          "note": "HILLSBOROUGH County"
        },
        {
          "name": "HCA FLORIDA CAPITAL HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "TALLAHASSEE",
          "state": "FL",
          "recordId": "0005632308",
          "note": "LEON County"
        },
        {
          "name": "HCA FLORIDA CITRUS HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "INVERNESS",
          "state": "FL",
          "recordId": "100023",
          "note": "CITRUS County"
        },
        {
          "name": "HCA FLORIDA ENGLEWOOD HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "ENGLEWOOD",
          "state": "FL",
          "recordId": "0009434223",
          "note": "SARASOTA County"
        },
        {
          "name": "HCA FLORIDA FAWCETT HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "PORT CHARLOTTE",
          "state": "FL",
          "recordId": "0009533952",
          "note": "CHARLOTTE County"
        },
        {
          "name": "HCA FLORIDA FORT WALTON-DESTIN HOSPITAL",
          "role": "Full research dossier target",
          "city": "FORT WALTON BEACH",
          "state": "FL",
          "recordId": "0013932547",
          "note": "OKALOOSA County"
        },
        {
          "name": "HCA FLORIDA GULF COAST HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "PANAMA CITY",
          "state": "FL",
          "recordId": "0014632405",
          "note": "BAY County"
        },
        {
          "name": "HCA FLORIDA HIGHLANDS HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "SEBRING",
          "state": "FL",
          "recordId": "0017233870",
          "note": "HIGHLANDS County"
        },
        {
          "name": "HCA FLORIDA JFK HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "ATLANTIS",
          "state": "FL",
          "recordId": "0019233462",
          "note": "PALM BEACH County"
        },
        {
          "name": "HCA FLORIDA JFK NORTH HOSPITAL A PART OF HCA FLORIDA JFK HOSP",
          "role": "Connected HCA Florida facility",
          "city": "WEST PALM BEACH",
          "state": "FL",
          "recordId": "0196785422",
          "note": "PALM BEACH County"
        },
        {
          "name": "HCA FLORIDA KENDALL HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "MIAMI",
          "state": "FL",
          "recordId": "0019633175",
          "note": "MIAMI-DADE County"
        },
        {
          "name": "HCA FLORIDA LAKE CITY HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "LAKE CITY",
          "state": "FL",
          "recordId": "0020932055",
          "note": "COLUMBIA County"
        },
        {
          "name": "HCA FLORIDA LARGO HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "LARGO",
          "state": "FL",
          "recordId": "0021833770",
          "note": "PINELLAS County"
        },
        {
          "name": "HCA FLORIDA LARGO WEST HOSPITAL A PART OF HCA FLORIDA LARGO",
          "role": "Connected HCA Florida facility",
          "city": "LARGO",
          "state": "FL",
          "recordId": "0196785192",
          "note": "PINELLAS County"
        },
        {
          "name": "HCA FLORIDA LAWNWOOD HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "FORT PIERCE",
          "state": "FL",
          "recordId": "0022134950",
          "note": "ST. LUCIE County"
        },
        {
          "name": "HCA FLORIDA LEHIGH HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "LEHIGH ACRES",
          "state": "FL",
          "recordId": "0022733936",
          "note": "LEE County"
        },
        {
          "name": "HCA FLORIDA MEMORIAL HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "JACKSONVILLE",
          "state": "FL",
          "recordId": "0025032216",
          "note": "DUVAL County"
        },
        {
          "name": "HCA FLORIDA MERCY HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "PLANTATION",
          "state": "FL",
          "recordId": "0031733317",
          "note": "BROWARD County"
        },
        {
          "name": "HCA FLORIDA NORTH FLORIDA HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "GAINESVILLE",
          "state": "FL",
          "recordId": "100204",
          "note": "ALACHUA County"
        },
        {
          "name": "HCA FLORIDA NORTHSIDE HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "SAINT PETERSBURG",
          "state": "FL",
          "recordId": "100238",
          "note": "PINELLAS County"
        },
        {
          "name": "HCA FLORIDA NORTHWEST HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "MARGATE",
          "state": "FL",
          "recordId": "0028833063",
          "note": "BROWARD County"
        },
        {
          "name": "HCA FLORIDA OAK HILL HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "BROOKSVILLE",
          "state": "FL",
          "recordId": "100264",
          "note": "HERNANDO County"
        },
        {
          "name": "HCA FLORIDA ORANGE PARK HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "ORANGE PARK",
          "state": "FL",
          "recordId": "0029232073",
          "note": "CLAY County"
        },
        {
          "name": "HCA FLORIDA OSCEOLA HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "KISSIMMEE",
          "state": "FL",
          "recordId": "100110",
          "note": "OSCEOLA County"
        },
        {
          "name": "HCA FLORIDA PALMS WEST HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "LOXAHATCHEE",
          "state": "FL",
          "recordId": "100269",
          "note": "PALM BEACH County"
        },
        {
          "name": "HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID",
          "role": "Connected HCA Florida facility",
          "city": "SAINT PETERSBURG",
          "state": "FL",
          "recordId": "0030433707",
          "note": "PINELLAS County"
        },
        {
          "name": "HCA FLORIDA POINCIANA HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "KISSIMMEE",
          "state": "FL",
          "recordId": "0036034758",
          "note": "OSCEOLA County"
        },
        {
          "name": "HCA FLORIDA PUTNAM HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "PALATKA",
          "state": "FL",
          "recordId": "0032232177",
          "note": "PUTNAM County"
        },
        {
          "name": "HCA FLORIDA RAULERSON HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "OKEECHOBEE",
          "state": "FL",
          "recordId": "100252",
          "note": "OKEECHOBEE County"
        },
        {
          "name": "HCA FLORIDA SARASOTA DOCTORS HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "SARASOTA",
          "state": "FL",
          "recordId": "0007834233",
          "note": "SARASOTA County"
        },
        {
          "name": "HCA FLORIDA SOUTH SHORE HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "SUN CITY CENTER",
          "state": "FL",
          "recordId": "0036233573",
          "note": "HILLSBOROUGH County"
        },
        {
          "name": "HCA FLORIDA SOUTH TAMPA HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "TAMPA",
          "state": "FL",
          "recordId": "100206",
          "note": "HILLSBOROUGH County"
        },
        {
          "name": "HCA FLORIDA ST PETERSBURG HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "SAINT PETERSBURG",
          "state": "FL",
          "recordId": "0039333710",
          "note": "PINELLAS County"
        },
        {
          "name": "HCA FLORIDA TRINITY HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "TRINITY",
          "state": "FL",
          "recordId": "0024634655",
          "note": "PASCO County"
        },
        {
          "name": "HCA FLORIDA TWIN CITIES HOSPITAL",
          "role": "Nearby Okaloosa partner hospital",
          "city": "NICEVILLE",
          "state": "FL",
          "recordId": "100054",
          "note": "OKALOOSA County"
        },
        {
          "name": "HCA FLORIDA UNIVERSITY HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "DAVIE",
          "state": "FL",
          "recordId": "100360",
          "note": "BROWARD County"
        },
        {
          "name": "HCA FLORIDA WEST HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "PENSACOLA",
          "state": "FL",
          "recordId": "0082032514",
          "note": "ESCAMBIA County"
        },
        {
          "name": "HCA FLORIDA WEST MARION HOSPITAL A PART OF HCA FL OCALA HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "OCALA",
          "state": "FL",
          "recordId": "0196785193",
          "note": "MARION County"
        },
        {
          "name": "HCA FLORIDA WOODMONT HOSPITAL",
          "role": "Connected HCA Florida facility",
          "city": "TAMARAC",
          "state": "FL",
          "recordId": "0040933321",
          "note": "BROWARD County"
        }
      ]
    }
  ],
  "directConnections": [
    "HCA Healthcare",
    "HCA Florida Healthcare",
    "HCA Florida Twin Cities Hospital",
    "Fort Walton Beach Medical Center Inc.",
    "HCA Inc."
  ],
  "actions": [
    "Monitor CMS ownership rows for any new PE-company, management-services, or medical-staffing flags.",
    "Refresh HCA SEC proxy/10-K data after the next annual filing.",
    "Add local CEO image only from a stable public image URL; current article source is Cloudflare-protected for direct hotlinking.",
    "Consider a separate Northwest Florida market page connecting HCA, Ascension Sacred Heart Emerald Coast, North Okaloosa, North Walton Doctors, and Baptist Gulf Breeze once those non-HCA systems receive full reviews."
  ],
  "contradictions": [
    {
      "topic": "Beds",
      "claim_a": "HCA About Us reports 331 licensed beds.",
      "claim_b": "The latest HCRIS cost report row shows 217 beds and 295 beds plus subproviders for FY ending 05/31/2024.",
      "resolution_status": "Treat as different definitions: licensed/service-line marketing statistic versus Medicare cost-report staffed/subprovider fields."
    },
    {
      "topic": "Compensation",
      "claim_a": "HCA parent-company named-executive compensation is public in the SEC proxy.",
      "claim_b": "KC Donahey local hospital CEO compensation was not itemized in reviewed public sources.",
      "resolution_status": "Publish parent-company compensation only, with local compensation marked unavailable."
    }
  ],
  "limitations": [
    "No direct private-equity ownership or PE-backed facility service contract was verified in this pass.",
    "CEO image is linked via a public article source but not hotlinked because the underlying page blocks direct automated retrieval.",
    "CMS owner rows include individual officer/director rows; the public dossier surfaces organization owner/control rows for readability.",
    "Quality metrics are point-in-time CMS group summaries and are not causal claims."
  ],
  "unavailableFields": [
    "Local hospital CEO compensation",
    "Direct, source-backed CEO image URL suitable for hotlinking",
    "Complete inspection/2567 history",
    "Facility-level staffing contract roster"
  ],
  "sources": [
    {
      "source_id": "source-hca-fort-walton-home",
      "title": "HCA Florida Fort Walton-Destin Hospital",
      "publisher": "HCA Florida Healthcare",
      "publication_date": "",
      "retrieved_at": "2026-06-25",
      "url": "https://www.hcafloridahealthcare.com/locations/fort-walton-destin-hospital",
      "reliability_tier": "primary",
      "research_note": "Official facility page for address, HCA relationship, services, 331-bed description, and Twin Cities partnership."
    },
    {
      "source_id": "source-hca-fort-walton-about",
      "title": "About Us - HCA Florida Fort Walton-Destin Hospital",
      "publisher": "HCA Florida Healthcare",
      "publication_date": "",
      "retrieved_at": "2026-06-25",
      "url": "https://www.hcafloridahealthcare.com/locations/fort-walton-destin-hospital/about-us",
      "reliability_tier": "primary",
      "research_note": "Official CEO message and statistics page naming KC Donahey as Chief Executive Officer."
    },
    {
      "source_id": "source-cms-hospital-general-information",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "",
      "retrieved_at": "2026-06-25",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Current CMS identity, ownership type, rating, and measure-group summary for CCN 100223."
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "",
      "retrieved_at": "2026-06-25",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "CMS enrollment O20051123000077, NPI 1639128820, legal name, DBA, address, and incorporation facts."
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "",
      "retrieved_at": "2026-06-25",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "CMS organization owner/control rows showing HCA Inc., HCA Healthcare Inc., Healthtrust, Galen Holdco, Hercules Holding II, and Frisco Holding II."
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Report",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2024",
      "retrieved_at": "2026-06-25",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "HCRIS row for CCN 100223, fiscal year ending 05/31/2024, used for net patient revenue, net income, assets, liabilities, contract labor, beds, FTE, discharges, and patient days."
    },
    {
      "source_id": "source-hca-2025-10k",
      "title": "HCA Healthcare 2025 Form 10-K",
      "publisher": "U.S. Securities and Exchange Commission",
      "publication_date": "2026-02-10",
      "retrieved_at": "2026-06-25",
      "url": "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm",
      "reliability_tier": "primary",
      "research_note": "Parent-company filing disclosing 47 Florida hospitals, 27 Florida surgery centers, and $17.856B Florida facility revenue in 2025."
    },
    {
      "source_id": "source-hca-2026-proxy",
      "title": "HCA Healthcare 2026 Proxy Statement",
      "publisher": "U.S. Securities and Exchange Commission",
      "publication_date": "2026-03-13",
      "retrieved_at": "2026-06-25",
      "url": "https://www.sec.gov/Archives/edgar/data/860730/000119312526106142/d939252ddef14a.htm",
      "reliability_tier": "primary",
      "research_note": "Parent-company 2025 Summary Compensation Table; Samuel N. Hazen total compensation was $26,456,606."
    },
    {
      "source_id": "source-getthecoast-kc-donahey",
      "title": "New CEO takes helm at HCA Florida Fort Walton-Destin Hospital",
      "publisher": "Get The Coast",
      "publication_date": "",
      "retrieved_at": "2026-06-25",
      "url": "https://www.getthecoast.com/new-ceo-takes-helm-at-hca-florida-fort-walton-destin-hospital/",
      "reliability_tier": "reporting",
      "research_note": "Image-search surfaced local article with Kenneth “KC” Donahey portrait and CEO transition details; page blocks direct automated retrieval."
    },
    {
      "source_id": "source-getthecoast-50th",
      "title": "HCA Florida Fort Walton-Destin Hospital celebrates 50 years of service in local community",
      "publisher": "Get The Coast",
      "publication_date": "2024-07-15",
      "retrieved_at": "2026-06-25",
      "url": "https://www.getthecoast.com/hca-florida-fort-walton-destin-hospital-celebrates-50-years-of-service-in-local-community/",
      "reliability_tier": "reporting",
      "research_note": "Local anniversary coverage used for founding-era context, prior CEO, growth statistics, and local partnerships."
    }
  ]
}
