{ "schemaVersion": 3, "entityId": "104007", "canonicalName": "NORTHEAST FLORIDA STATE HOSPITAL", "status": "confirmed_pe", "statusLabel": "CMS-corroborated PE ownership record", "summary": "NORTHEAST FLORIDA STATE HOSPITAL is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.", "lastReviewed": "2026-06-22", "review": { "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate", "evidence_grade": "government-corroborated", "confidence": "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": "104007", "npi": "1013931765", "historicalCcns": [], "aliases": [ { "alias": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "NORTHEAST FLORIDA STATE HOSPITAL", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-wellpath-104007", "from_entity_id": "Wellpath", "to_entity_id": "104007", "relationship_type": "owns", "effective_date": "", "end_date": "", "announcement_date": "", "status": "confirmed", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker", "plain_english_summary": "The tracker identifies Wellpath in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.", "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker." } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [ { "metric_id": "104007-net_patient_revenue-06-30-2024", "entity_id": "104007", "metric_name": "net_patient_revenue", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "7602808", "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": "104007-net_patient_revenue-06-30-2023", "entity_id": "104007", "metric_name": "net_patient_revenue", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "5465039", "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": "104007-net_patient_revenue-06-30-2022", "entity_id": "104007", "metric_name": "net_patient_revenue", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "6363658", "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": "104007-operating_expense-06-30-2024", "entity_id": "104007", "metric_name": "operating_expense", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "95112494", "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": "104007-operating_expense-06-30-2023", "entity_id": "104007", "metric_name": "operating_expense", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "82913901", "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": "104007-operating_expense-06-30-2022", "entity_id": "104007", "metric_name": "operating_expense", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "80466641", "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": "104007-net_income-06-30-2024", "entity_id": "104007", "metric_name": "net_income", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "-87509686", "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": "104007-net_income-06-30-2023", "entity_id": "104007", "metric_name": "net_income", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "-77448862", "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": "104007-net_income-06-30-2022", "entity_id": "104007", "metric_name": "net_income", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "-74102983", "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": "104007-fte_employees-06-30-2024", "entity_id": "104007", "metric_name": "fte_employees", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "56", "unit": "FTE", "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": "104007-fte_employees-06-30-2023", "entity_id": "104007", "metric_name": "fte_employees", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "57", "unit": "FTE", "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": "104007-fte_employees-06-30-2022", "entity_id": "104007", "metric_name": "fte_employees", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "57", "unit": "FTE", "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": "104007-beds-06-30-2024", "entity_id": "104007", "metric_name": "beds", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "60", "unit": "beds", "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": "104007-beds-06-30-2023", "entity_id": "104007", "metric_name": "beds", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "60", "unit": "beds", "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": "104007-beds-06-30-2022", "entity_id": "104007", "metric_name": "beds", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "60", "unit": "beds", "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": "104007-patient_days-06-30-2024", "entity_id": "104007", "metric_name": "patient_days", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "21814", "unit": "days", "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": "104007-patient_days-06-30-2023", "entity_id": "104007", "metric_name": "patient_days", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "20705", "unit": "days", "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": "104007-patient_days-06-30-2022", "entity_id": "104007", "metric_name": "patient_days", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "19684", "unit": "days", "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": "104007-discharges-06-30-2024", "entity_id": "104007", "metric_name": "discharges", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "248", "unit": "discharges", "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": "104007-discharges-06-30-2023", "entity_id": "104007", "metric_name": "discharges", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "17", "unit": "discharges", "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": "104007-discharges-06-30-2022", "entity_id": "104007", "metric_name": "discharges", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "19", "unit": "discharges", "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" } ], "cmsOwnerRecords": [ { "organization": "RENA FLYNN", "role": "W-2 MANAGING EMPLOYEE", "association_date": "06/01/2005", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DIANA NIELSEN", "role": "W-2 MANAGING EMPLOYEE", "association_date": "01/03/2012", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DEAGAN WATSON", "role": "W-2 MANAGING EMPLOYEE", "association_date": "12/09/2024", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DEAGAN WATSON", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "12/09/2024", "percentage_ownership": "100", "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: Wellpath.", "Reported investment sponsor: H.I.G. Capital." ], "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." ], "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:104007", "label": "NORTHEAST FLORIDA STATE HOSPITAL", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:h-i-g-capital", "label": "H.I.G. Capital", "kind": "pe_sponsor", "evidence": "research tracker or primary portfolio source" }, { "id": "organization:florida-department-of-children-and-families", "label": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:rena-flynn:0", "label": "RENA FLYNN", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:diana-nielsen:1", "label": "DIANA NIELSEN", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:deagan-watson:2", "label": "DEAGAN WATSON", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:deagan-watson:3", "label": "DEAGAN WATSON", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" } ], "edges": [ { "id": "organization:h-i-g-capital->organization:florida-department-of-children-and-families", "from": "organization:h-i-g-capital", "to": "organization:florida-department-of-children-and-families", "relationship": "sponsors", "confidence": "medium", "sourceIds": [ "source-cms-hospital-all-owners", "source-pesp-hospital-tracker" ], "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name." }, { "id": "organization:florida-department-of-children-and-families->facility:104007", "from": "organization:florida-department-of-children-and-families", "to": "facility:104007", "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:rena-flynn:0->facility:104007", "from": "cms-owner:rena-flynn:0", "to": "facility:104007", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · 0% reported ownership · associated 06/01/2005" }, { "id": "cms-owner:diana-nielsen:1->facility:104007", "from": "cms-owner:diana-nielsen:1", "to": "facility:104007", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 01/03/2012" }, { "id": "cms-owner:deagan-watson:2->facility:104007", "from": "cms-owner:deagan-watson:2", "to": "facility:104007", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · 100% reported ownership · associated 12/09/2024" }, { "id": "cms-owner:deagan-watson:3->facility:104007", "from": "cms-owner:deagan-watson:3", "to": "facility:104007", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 12/09/2024" } ], "caveats": [ "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.", "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence." ] }, "descriptiveTrends": [ { "metric": "net_patient_revenue", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 6363658, "latestValue": 7602808, "absoluteChange": 1239150, "percentChange": 19.472290937067957, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 80466641, "latestValue": 95112494, "absoluteChange": 14645853, "percentChange": 18.201148721990272, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": -74102983, "latestValue": -87509686, "absoluteChange": -13406703, "percentChange": -18.0919882806877, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 57, "latestValue": 56, "absoluteChange": -1, "percentChange": -1.7543859649122806, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 60, "latestValue": 60, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 19684, "latestValue": 21814, "absoluteChange": 2130, "percentChange": 10.820971347287136, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 19, "latestValue": 248, "absoluteChange": 229, "percentChange": 1205.2631578947369, "unit": "discharges" } ] }