{ "schemaVersion": 4, "entityId": "050093", "canonicalName": "SAINT AGNES MEDICAL CENTER", "status": "verified_independent", "statusLabel": "No documented PE link in reviewed sources", "summary": "Saint Agnes Medical Center was reviewed in the Fresno custom NEXT-style batch. Trinity Health nonprofit/Catholic facility; official Saint Agnes page lists Vituity Emergency Medicine Service at the hospital. Unsupported PE ownership, contract scope, faith affiliation, sibling status, and independence claims remain limited to the cited sources.", "lastReviewed": "2026-07-04", "review": { "reviewer": "Codex Fresno custom NEXT-style batch", "evidence_grade": "source-family review completed with explicit unresolved items", "confidence": "high", "source_count": 5, "ownership_source_count": 5, "identity_match_method": "Entity ID 050093; CCN 050093", "publication_decision": "Do not mark PE-owned; consider contractor edge to Vituity after source review", "batch_id": "next-50-2026-07-04-fresno-city-001" }, "firstGlance": { "taxOwnershipType": "Nonprofit", "operator": "Trinity Health / Saint Agnes Medical Center", "directPeOwnership": "PE-backed contractor exposure not established; Vituity emergency medicine contractor signal documented", "peRelationship": "PE-backed contractor exposure not established; Vituity emergency medicine contractor signal documented", "institutionalShareholderContext": "No direct institutional-shareholder ownership claim is made from this batch.", "populationServedEstimate": 0, "populationServedLabel": "Not estimated in this Fresno batch", "careLevel": "Acute Care Hospitals", "currentCeo": "Leadership research pending", "previousRelevantCeo": "Not identified in this Fresno batch", "operatorType": "Faith-based health system", "operatorName": "Trinity Health / Saint Agnes Medical Center", "parentSystem": "Trinity Health", "affiliatedSystem": "Trinity Health", "religiousAffiliation": "Catholic", "confidence": "high", "evidenceAsOf": "2026-07-04", "bottomLine": "Trinity Health nonprofit/Catholic facility; official Saint Agnes page lists Vituity Emergency Medicine Service at the hospital." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Not estimated in this Fresno batch", "estimateMethod": "No catchment or access-time model was run for this custom batch.", "catchmentDescription": "FRESNO, FRESNO, CA", "traumaCareLevel": "Acute Care Hospitals", "publicFacingCaveat": "Exact Vituity service-line contract scope and dates not located; faith affiliation should be updated from official Saint Agnes/Trinity sources" }, "religiousAffiliation": { "affiliation": "Catholic", "affiliationType": "member_system", "sponsorOrOrder": "Trinity Health", "faithBasedSystem": "Trinity Health", "scope": "system", "confidence": "high", "sourceIds": [ "samc_about_2026", "vituity_samc" ], "sourceUrls": [ "https://www.samc.com/about-us", "https://www.vituity.com/locations/saint-agnes-medical-center/" ], "evidenceAsOf": "2026-07-04", "notes": "Official sources support Trinity Health/Catholic affiliation." }, "qualityAndLaborContext": { "immediateJeopardy2026SourceStatus": "Not reviewed in this Fresno batch.", "noCausationClaim": true, "note": "Contract, ownership, and affiliation signals are presented as context only; this release does not infer quality or labor causation." }, "leadership": [], "identifiers": { "ccn": "050093", "npi": null, "historicalCcns": [], "aliases": [] }, "ownershipHistory": [ { "relationship_id": "rel-samc-trinity", "relationship_type": "indirect_nonprofit_owner_system", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "cms_owner_samc|samc_about_2026", "plain_english_summary": "CMS owner cache supports Trinity Health Corporation 100 percent indirect owner for Saint Agnes" }, { "relationship_id": "rel-samc-vituity", "relationship_type": "operates", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "samc_vituity_official_2026|vituity_samc", "plain_english_summary": "Saint Agnes official location page lists Vituity Emergency Medicine Service at the hospital" } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [], "cmsOwnerRecords": [], "ownershipChain": { "model": "Fresno custom NEXT-style batch relationship graph. Edges are source-backed context, not automatic public label changes.", "confidence": "high", "nodes": [ { "id": "050093", "label": "SAINT AGNES MEDICAL CENTER", "kind": "hospital", "evidence": "Reviewed in next-50-2026-07-04-fresno-city-001." }, { "id": "trinity-health", "label": "trinity health", "kind": "organization", "evidence": "CMS owner cache supports Trinity Health Corporation 100 percent indirect owner for Saint Agnes" }, { "id": "vituity", "label": "vituity", "kind": "organization", "evidence": "Saint Agnes official location page lists Vituity Emergency Medicine Service at the hospital" } ], "edges": [ { "id": "rel-samc-trinity", "from": "050093", "to": "trinity-health", "relationship": "indirect_nonprofit_owner_system", "confidence": "high", "sourceIds": [ "cms_owner_samc", "samc_about_2026" ], "note": "Relationship edge is source-backed but public display still requires validation/approval." }, { "id": "rel-samc-vituity", "from": "050093", "to": "vituity", "relationship": "contractor_emergency_medicine", "confidence": "medium", "sourceIds": [ "samc_vituity_official_2026", "vituity_samc" ], "note": "Relationship edge is source-backed but public display still requires validation/approval." } ], "caveats": [ "Exact Vituity service-line contract scope and dates not located; faith affiliation should be updated from official Saint Agnes/Trinity sources", "Exact Vituity contract document, term, compensation, and service scope not located.", "Research completed structurally for this custom Fresno NEXT-style batch, but no stronger public label should be published without exact approval and validation gates." ] }, "ownershipConnections": [ { "entityName": "trinity health", "entityKind": "organization", "relationship": "indirect_nonprofit_owner_system", "classification": "high", "evidenceSourceIds": [ "cms_owner_samc", "samc_about_2026" ], "note": "CMS owner cache supports Trinity Health Corporation 100 percent indirect owner for Saint Agnes" }, { "entityName": "vituity", "entityKind": "organization", "relationship": "contractor_emergency_medicine", "classification": "medium", "evidenceSourceIds": [ "samc_vituity_official_2026", "vituity_samc" ], "note": "Saint Agnes official location page lists Vituity Emergency Medicine Service at the hospital" } ], "importantLinks": [ { "label": "CMS Hospital All Owners local cache", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "sourceId": "cms_owner_samc", "note": "Trinity Health Corporation appears as 100 percent indirect nonprofit owner for Saint Agnes Medical Center. Limit: Does not prove every service-line contractor. Audit location: research/cache/hospital-all-owners.csv; Saint Agnes Medical Center owner rows" }, { "label": "St. Agnes Medical Center profile", "url": "https://hcai.ca.gov/facility/st-agnes-medical-center/", "sourceId": "hcai_samc", "note": "Saint Agnes is open, licensed as a general acute care hospital, with 436 licensed beds. Limit: Does not show current contracts. Hospital profile lines 205-216" }, { "label": "Saint Agnes Medical Center About Us", "url": "https://www.samc.com/about-us", "sourceId": "samc_about_2026", "note": "Saint Agnes describes its Holy Cross history, nonprofit subsidiary Saint Agnes Care, partnerships, and page last updated 01/2026. Limit: Does not substitute for Form 990 or CMS ownership data. About page lines 118-126 from web capture" }, { "label": "Vituity Emergency Medicine Service - Saint Agnes Medical Center", "url": "https://www.samc.com/location/vituity-35", "sourceId": "samc_vituity_official_2026", "note": "Saint Agnes publishes Vituity Emergency Medicine Service at 1303 E Herndon Ave, Fresno, supporting a current emergency-medicine contractor/service relationship. Limit: Does not disclose the full contract, term, compensation, or whether Vituity owns or controls the hospital. Page title, phone/address lines" }, { "label": "Saint Agnes Medical Center location", "url": "https://www.vituity.com/locations/saint-agnes-medical-center/", "sourceId": "vituity_samc", "note": "Vituity publishes a Saint Agnes Medical Center location page and patient-facing Vituity billing/resource context. Limit: Does not disclose the underlying contract document, term, or exact service scope. Location page lines 87-96 from web capture" } ], "descriptiveTrends": [], "systemConnections": [ { "systemName": "trinity health", "relationship": "indirect_nonprofit_owner_system", "evidenceSourceIds": [ "cms_owner_samc", "samc_about_2026" ], "facilities": [ { "name": "SAINT AGNES MEDICAL CENTER", "role": "CMS owner cache supports Trinity Health Corporation 100 percent indirect owner for Saint Agnes", "city": "FRESNO", "state": "CA", "recordId": "050093", "note": "Relationship edge is source-backed but public display still requires validation/approval." } ] }, { "systemName": "vituity", "relationship": "contractor_emergency_medicine", "evidenceSourceIds": [ "samc_vituity_official_2026", "vituity_samc" ], "facilities": [ { "name": "SAINT AGNES MEDICAL CENTER", "role": "Saint Agnes official location page lists Vituity Emergency Medicine Service at the hospital", "city": "FRESNO", "state": "CA", "recordId": "050093", "note": "Relationship edge is source-backed but public display still requires validation/approval." } ] } ], "directConnections": [ "Saint Agnes Medical Center nonprofit with Trinity Health Corporation 100 percent indirect owner in CMS owner cache", "Vituity has a current Saint Agnes Medical Center location page; treat as clinical contractor/staffing exposure signal pending exact contract scope", "CMS owner cache supports Trinity Health Corporation 100 percent indirect owner for Saint Agnes", "Saint Agnes official location page lists Vituity Emergency Medicine Service at the hospital" ], "actions": [], "contradictions": [], "limitations": [ "Exact Vituity service-line contract scope and dates not located; faith affiliation should be updated from official Saint Agnes/Trinity sources", "Exact Vituity contract document, term, compensation, and service scope not located.", "Research completed structurally for this custom Fresno NEXT-style batch, but no stronger public label should be published without exact approval and validation gates." ], "unavailableFields": [ "Exact Vituity service-line contract scope and dates not located; faith affiliation should be updated from official Saint Agnes/Trinity sources", "Exact Vituity contract document, term, compensation, and service scope not located.", "Research completed structurally for this custom Fresno NEXT-style batch, but no stronger public label should be published without exact approval and validation gates." ], "sources": [ { "source_id": "cms_owner_samc", "title": "CMS Hospital All Owners local cache", "publisher": "CMS", "publication_date": "2026-06-24", "retrieved_at": "2026-07-04", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "high", "research_note": "Trinity Health Corporation appears as 100 percent indirect nonprofit owner for Saint Agnes Medical Center. Limit: Does not prove every service-line contractor. Audit location: research/cache/hospital-all-owners.csv; Saint Agnes Medical Center owner rows" }, { "source_id": "hcai_samc", "title": "St. Agnes Medical Center profile", "publisher": "HCAI", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://hcai.ca.gov/facility/st-agnes-medical-center/", "reliability_tier": "high", "research_note": "Saint Agnes is open, licensed as a general acute care hospital, with 436 licensed beds. Limit: Does not show current contracts. Hospital profile lines 205-216" }, { "source_id": "samc_about_2026", "title": "Saint Agnes Medical Center About Us", "publisher": "Saint Agnes Medical Center", "publication_date": "2026-01", "retrieved_at": "2026-07-04", "url": "https://www.samc.com/about-us", "reliability_tier": "high", "research_note": "Saint Agnes describes its Holy Cross history, nonprofit subsidiary Saint Agnes Care, partnerships, and page last updated 01/2026. Limit: Does not substitute for Form 990 or CMS ownership data. About page lines 118-126 from web capture" }, { "source_id": "samc_vituity_official_2026", "title": "Vituity Emergency Medicine Service - Saint Agnes Medical Center", "publisher": "Saint Agnes Medical Center", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://www.samc.com/location/vituity-35", "reliability_tier": "high", "research_note": "Saint Agnes publishes Vituity Emergency Medicine Service at 1303 E Herndon Ave, Fresno, supporting a current emergency-medicine contractor/service relationship. Limit: Does not disclose the full contract, term, compensation, or whether Vituity owns or controls the hospital. Page title, phone/address lines" }, { "source_id": "vituity_samc", "title": "Saint Agnes Medical Center location", "publisher": "Vituity", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://www.vituity.com/locations/saint-agnes-medical-center/", "reliability_tier": "medium", "research_note": "Vituity publishes a Saint Agnes Medical Center location page and patient-facing Vituity billing/resource context. Limit: Does not disclose the underlying contract document, term, or exact service scope. Location page lines 87-96 from web capture" } ] }