{
  "schemaVersion": 3,
  "entityId": "010090",
  "canonicalName": "PROVIDENCE HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "PROVIDENCE HOSPITAL appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "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": "010090",
    "npi": "1992489223",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "USA HEALTH HCA PROVIDENCE HOSPITAL LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "USA HEALTH PROVIDENCE HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-providence-010090",
      "from_entity_id": "Providence",
      "to_entity_id": "010090",
      "relationship_type": "venture_backing",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "Providence is reported as an investment backer; this is not treated as a completed ownership claim.",
      "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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      "metric_id": "010090-net_patient_revenue-06-30-2023",
      "entity_id": "010090",
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      "period_end": "06/30/2023",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010090-net_patient_revenue-06-30-2022",
      "entity_id": "010090",
      "metric_name": "net_patient_revenue",
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      "period_end": "06/30/2022",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010090-operating_expense-09-30-2023",
      "entity_id": "010090",
      "metric_name": "operating_expense",
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      "period_end": "09/30/2023",
      "value": "68363339",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010090-operating_expense-06-30-2023",
      "entity_id": "010090",
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      "period_start": "07/01/2022",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010090-operating_expense-06-30-2022",
      "entity_id": "010090",
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    },
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      "metric_id": "010090-net_income-09-30-2023",
      "entity_id": "010090",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010090-net_income-06-30-2023",
      "entity_id": "010090",
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      "comparable_to_prior": "review_required"
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      "comparable_to_prior": "review_required"
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      "investment_firm": false,
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    },
    {
      "organization": "KRISTEN ROBERTS",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "03/10/2025",
      "percentage_ownership": "50",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOHN MARYMONT",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/01/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSIAH BONNER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/01/2023",
      "percentage_ownership": "0",
      "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: Providence."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "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": "medium",
    "nodes": [
      {
        "id": "facility:010090",
        "label": "PROVIDENCE HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:university-of-south-alabama",
        "label": "UNIVERSITY OF SOUTH ALABAMA",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:natalie-fox:0",
        "label": "NATALIE FOX",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:natalie-fox:1",
        "label": "NATALIE FOX",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:glen-bailey:2",
        "label": "GLEN BAILEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:andrea-kent:3",
        "label": "ANDREA KENT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:mona-spenser:4",
        "label": "MONA SPENSER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:charles-smith:5",
        "label": "CHARLES SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:university-of-south-alabama:6",
        "label": "UNIVERSITY OF SOUTH ALABAMA",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:polly-stokley:7",
        "label": "POLLY STOKLEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:university-of-south-alabama-health-care-authority:8",
        "label": "UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:chris-vinet:9",
        "label": "CHRIS VINET",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:vincent-walker:10",
        "label": "VINCENT WALKER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jinni-frisbey:11",
        "label": "JINNI FRISBEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:william-starling:12",
        "label": "WILLIAM STARLING",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:arlene-mitchell:13",
        "label": "ARLENE MITCHELL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kristen-roberts:14",
        "label": "KRISTEN ROBERTS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kristen-roberts:15",
        "label": "KRISTEN ROBERTS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:university-of-south-alabama->facility:010090",
        "from": "organization:university-of-south-alabama",
        "to": "facility:010090",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:natalie-fox:0->facility:010090",
        "from": "cms-owner:natalie-fox:0",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 50% reported ownership · associated 05/01/2025"
      },
      {
        "id": "cms-owner:natalie-fox:1->facility:010090",
        "from": "cms-owner:natalie-fox:1",
        "to": "facility:010090",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 50% reported ownership · associated 05/01/2025"
      },
      {
        "id": "cms-owner:glen-bailey:2->facility:010090",
        "from": "cms-owner:glen-bailey:2",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:andrea-kent:3->facility:010090",
        "from": "cms-owner:andrea-kent:3",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:mona-spenser:4->facility:010090",
        "from": "cms-owner:mona-spenser:4",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/03/2023"
      },
      {
        "id": "cms-owner:charles-smith:5->facility:010090",
        "from": "cms-owner:charles-smith:5",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:university-of-south-alabama:6->facility:010090",
        "from": "cms-owner:university-of-south-alabama:6",
        "to": "facility:010090",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:polly-stokley:7->facility:010090",
        "from": "cms-owner:polly-stokley:7",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:university-of-south-alabama-health-care-authority:8->facility:010090",
        "from": "cms-owner:university-of-south-alabama-health-care-authority:8",
        "to": "facility:010090",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:chris-vinet:9->facility:010090",
        "from": "cms-owner:chris-vinet:9",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:vincent-walker:10->facility:010090",
        "from": "cms-owner:vincent-walker:10",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:jinni-frisbey:11->facility:010090",
        "from": "cms-owner:jinni-frisbey:11",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:william-starling:12->facility:010090",
        "from": "cms-owner:william-starling:12",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:arlene-mitchell:13->facility:010090",
        "from": "cms-owner:arlene-mitchell:13",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2023"
      },
      {
        "id": "cms-owner:kristen-roberts:14->facility:010090",
        "from": "cms-owner:kristen-roberts:14",
        "to": "facility:010090",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 50% reported ownership · associated 03/10/2025"
      },
      {
        "id": "cms-owner:kristen-roberts:15->facility:010090",
        "from": "cms-owner:kristen-roberts:15",
        "to": "facility:010090",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 50% reported ownership · associated 03/10/2025"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 246695485,
      "latestValue": 60518679,
      "absoluteChange": -186176806,
      "percentChange": -75.468266474354,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 259208840,
      "latestValue": 68363339,
      "absoluteChange": -190845501,
      "percentChange": -73.62615449380507,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": -6957193,
      "latestValue": -7323518,
      "absoluteChange": -366325,
      "percentChange": -5.265413795477572,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 110379495,
      "latestValue": 105361570,
      "absoluteChange": -5017925,
      "percentChange": -4.546066277980344,
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    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 109534370,
      "latestValue": 97513463,
      "absoluteChange": -12020907,
      "percentChange": -10.97455255368703,
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    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2021",
      "latestPeriod": "06/30/2023",
      "earliestValue": 128855,
      "latestValue": 238156,
      "absoluteChange": 109301,
      "percentChange": 84.82480307322184,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 1008.4,
      "latestValue": 975.37,
      "absoluteChange": -33.02999999999997,
      "percentChange": -3.2754859182863916,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 349,
      "latestValue": 349,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 68217,
      "latestValue": 15925,
      "absoluteChange": -52292,
      "percentChange": -76.65537915768796,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 12024,
      "latestValue": 3137,
      "absoluteChange": -8887,
      "percentChange": -73.91051230871591,
      "unit": "discharges"
    }
  ]
}
