{
  "schemaVersion": 3,
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  "canonicalName": "OSF LITTLE COMPANY OF MARY MEDICAL CENTER",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "OSF LITTLE COMPANY OF MARY MEDICAL CENTER 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"
  },
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    "npi": "1215572045",
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      },
      {
        "alias": "OSF LITTLE COMPANY OF MARY MEDICAL CENTER",
        "alias_type": "cms_dba",
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      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
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      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHELLE CONGER",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "01/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROBERT SEHRING",
      "role": "CORPORATE OFFICER",
      "association_date": "10/20/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROBERT SEHRING",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/20/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROBERT SEHRING",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "10/20/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JUDITH DUVALL",
      "role": "CORPORATE OFFICER",
      "association_date": "10/01/2006",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JUDITH DUVALL",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/01/1989",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRIAN SILVERSTEIN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/01/2015",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "PAULA SELAMAT",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/06/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRIDGET MEIDL",
      "role": "CORPORATE DIRECTOR",
      "association_date": "11/01/2014",
      "percentage_ownership": "",
      "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: OSF HealthCare."
  ],
  "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:140179",
        "label": "OSF LITTLE COMPANY OF MARY MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:osf-healthcare-ministries",
        "label": "OSF HEALTHCARE MINISTRIES",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:patricia-brazeau:0",
        "label": "PATRICIA BRAZEAU",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:patricia-brazeau:1",
        "label": "PATRICIA BRAZEAU",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:anne-ziegler:2",
        "label": "ANNE ZIEGLER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:melanie-mann:3",
        "label": "MELANIE MANN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:melanie-mann:4",
        "label": "MELANIE MANN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:gerald-mcshane:5",
        "label": "GERALD MCSHANE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kathleen-kinsella:6",
        "label": "KATHLEEN KINSELLA",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:osf-healthcare-ministries:7",
        "label": "OSF HEALTHCARE MINISTRIES",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:kathleen-williams:8",
        "label": "KATHLEEN WILLIAMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:kathleen-williams:9",
        "label": "KATHLEEN WILLIAMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kirsten-largent:10",
        "label": "KIRSTEN LARGENT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:kirsten-largent:11",
        "label": "KIRSTEN LARGENT",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:kirsten-largent:12",
        "label": "KIRSTEN LARGENT",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:michelle-conger:13",
        "label": "MICHELLE CONGER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:michelle-conger:14",
        "label": "MICHELLE CONGER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:michelle-conger:15",
        "label": "MICHELLE CONGER",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      }
    ],
    "edges": [
      {
        "id": "organization:osf-healthcare-ministries->facility:140179",
        "from": "organization:osf-healthcare-ministries",
        "to": "facility:140179",
        "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:patricia-brazeau:0->facility:140179",
        "from": "cms-owner:patricia-brazeau:0",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 10/01/2006"
      },
      {
        "id": "cms-owner:patricia-brazeau:1->facility:140179",
        "from": "cms-owner:patricia-brazeau:1",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2016"
      },
      {
        "id": "cms-owner:anne-ziegler:2->facility:140179",
        "from": "cms-owner:anne-ziegler:2",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:melanie-mann:3->facility:140179",
        "from": "cms-owner:melanie-mann:3",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 10/06/2024"
      },
      {
        "id": "cms-owner:melanie-mann:4->facility:140179",
        "from": "cms-owner:melanie-mann:4",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2006"
      },
      {
        "id": "cms-owner:gerald-mcshane:5->facility:140179",
        "from": "cms-owner:gerald-mcshane:5",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/01/1996"
      },
      {
        "id": "cms-owner:kathleen-kinsella:6->facility:140179",
        "from": "cms-owner:kathleen-kinsella:6",
        "to": "facility:140179",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/10/2020"
      },
      {
        "id": "cms-owner:osf-healthcare-ministries:7->facility:140179",
        "from": "cms-owner:osf-healthcare-ministries:7",
        "to": "facility:140179",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 11/01/2024"
      },
      {
        "id": "cms-owner:kathleen-williams:8->facility:140179",
        "from": "cms-owner:kathleen-williams:8",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 11/01/2014"
      },
      {
        "id": "cms-owner:kathleen-williams:9->facility:140179",
        "from": "cms-owner:kathleen-williams:9",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2003"
      },
      {
        "id": "cms-owner:kirsten-largent:10->facility:140179",
        "from": "cms-owner:kirsten-largent:10",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 11/08/2024"
      },
      {
        "id": "cms-owner:kirsten-largent:11->facility:140179",
        "from": "cms-owner:kirsten-largent:11",
        "to": "facility:140179",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 11/08/2024"
      },
      {
        "id": "cms-owner:kirsten-largent:12->facility:140179",
        "from": "cms-owner:kirsten-largent:12",
        "to": "facility:140179",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 11/08/2024"
      },
      {
        "id": "cms-owner:michelle-conger:13->facility:140179",
        "from": "cms-owner:michelle-conger:13",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2025"
      },
      {
        "id": "cms-owner:michelle-conger:14->facility:140179",
        "from": "cms-owner:michelle-conger:14",
        "to": "facility:140179",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2025"
      },
      {
        "id": "cms-owner:michelle-conger:15->facility:140179",
        "from": "cms-owner:michelle-conger:15",
        "to": "facility:140179",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 01/01/2025"
      }
    ],
    "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": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 225185956,
      "latestValue": 249737208,
      "absoluteChange": 24551252,
      "percentChange": 10.902656824655619,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 281302917,
      "latestValue": 288168054,
      "absoluteChange": 6865137,
      "percentChange": 2.440478425611207,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": -59385143,
      "latestValue": -44258454,
      "absoluteChange": 15126689,
      "percentChange": 25.47217744343901,
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    },
    {
      "metric": "total_assets",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 544847559,
      "latestValue": 385391342,
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    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 70564580,
      "latestValue": 26913872,
      "absoluteChange": -43650708,
      "percentChange": -61.85923305998562,
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    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 5218559,
      "latestValue": 5326355,
      "absoluteChange": 107796,
      "percentChange": 2.065627695308226,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 1260.62,
      "latestValue": 1092.73,
      "absoluteChange": -167.88999999999987,
      "percentChange": -13.318049848487243,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 220,
      "latestValue": 222,
      "absoluteChange": 2,
      "percentChange": 0.9090909090909091,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 60937,
      "latestValue": 49399,
      "absoluteChange": -11538,
      "percentChange": -18.934309204588345,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 17149,
      "latestValue": 15420,
      "absoluteChange": -1729,
      "percentChange": -10.08222053764068,
      "unit": "discharges"
    }
  ]
}
