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  "schemaVersion": 3,
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  "canonicalName": "ST. FRANCIS MEDICAL CENTER",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "ST. FRANCIS 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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      "end_date": "",
      "announcement_date": "",
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      "confidence": "medium",
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      "organization": "JOHN JONES",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HENRY HINKLE",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2012",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM MERCER",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ANDREW LEBLANC",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ANDREW LEBLANC",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ANDREW LEBLANC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM SMART",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "FMOL-NORTH AMERICAN PROVIDENCE INC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "11/04/1968",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ST FRANCIS MEDICAL CENTER INC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "08/15/2013",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [],
  "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:190125",
        "label": "ST. FRANCIS MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:st-francis-medical-center-inc",
        "label": "ST FRANCIS MEDICAL CENTER INC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:ronald-berry:0",
        "label": "RONALD BERRY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:william-liles:1",
        "label": "WILLIAM LILES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:thomas-gullatt:2",
        "label": "THOMAS GULLATT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:thomas-gullatt:3",
        "label": "THOMAS GULLATT",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:thomas-gullatt:4",
        "label": "THOMAS GULLATT",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:rolf-morstead:5",
        "label": "ROLF MORSTEAD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:john-rea:6",
        "label": "JOHN REA",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:francis-malone:7",
        "label": "FRANCIS MALONE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:franciscan-missionaries-of-our-lady-health-system-inc:8",
        "label": "FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:janet-durden:9",
        "label": "JANET DURDEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:sherita-williams:10",
        "label": "SHERITA WILLIAMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:lawrence-holland:11",
        "label": "LAWRENCE HOLLAND",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:carrie-baker:12",
        "label": "CARRIE BAKER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:tara-haney:13",
        "label": "TARA HANEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:helen-cahill:14",
        "label": "HELEN CAHILL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:john-jones:15",
        "label": "JOHN JONES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:st-francis-medical-center-inc->facility:190125",
        "from": "organization:st-francis-medical-center-inc",
        "to": "facility:190125",
        "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:ronald-berry:0->facility:190125",
        "from": "cms-owner:ronald-berry:0",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2022"
      },
      {
        "id": "cms-owner:william-liles:1->facility:190125",
        "from": "cms-owner:william-liles:1",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2022"
      },
      {
        "id": "cms-owner:thomas-gullatt:2->facility:190125",
        "from": "cms-owner:thomas-gullatt:2",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2012"
      },
      {
        "id": "cms-owner:thomas-gullatt:3->facility:190125",
        "from": "cms-owner:thomas-gullatt:3",
        "to": "facility:190125",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 06/05/2022"
      },
      {
        "id": "cms-owner:thomas-gullatt:4->facility:190125",
        "from": "cms-owner:thomas-gullatt:4",
        "to": "facility:190125",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 06/05/2022"
      },
      {
        "id": "cms-owner:rolf-morstead:5->facility:190125",
        "from": "cms-owner:rolf-morstead:5",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2012"
      },
      {
        "id": "cms-owner:john-rea:6->facility:190125",
        "from": "cms-owner:john-rea:6",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2012"
      },
      {
        "id": "cms-owner:francis-malone:7->facility:190125",
        "from": "cms-owner:francis-malone:7",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2022"
      },
      {
        "id": "cms-owner:franciscan-missionaries-of-our-lady-health-system-inc:8->facility:190125",
        "from": "cms-owner:franciscan-missionaries-of-our-lady-health-system-inc:8",
        "to": "facility:190125",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · associated 11/04/1968"
      },
      {
        "id": "cms-owner:janet-durden:9->facility:190125",
        "from": "cms-owner:janet-durden:9",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2018"
      },
      {
        "id": "cms-owner:sherita-williams:10->facility:190125",
        "from": "cms-owner:sherita-williams:10",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2022"
      },
      {
        "id": "cms-owner:lawrence-holland:11->facility:190125",
        "from": "cms-owner:lawrence-holland:11",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2012"
      },
      {
        "id": "cms-owner:carrie-baker:12->facility:190125",
        "from": "cms-owner:carrie-baker:12",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2020"
      },
      {
        "id": "cms-owner:tara-haney:13->facility:190125",
        "from": "cms-owner:tara-haney:13",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2022"
      },
      {
        "id": "cms-owner:helen-cahill:14->facility:190125",
        "from": "cms-owner:helen-cahill:14",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2012"
      },
      {
        "id": "cms-owner:john-jones:15->facility:190125",
        "from": "cms-owner:john-jones:15",
        "to": "facility:190125",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2020"
      }
    ],
    "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": "06/30/2024",
      "earliestValue": 274661771,
      "latestValue": 382092864,
      "absoluteChange": 107431093,
      "percentChange": 39.113959182910826,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 327907513,
      "latestValue": 383486698,
      "absoluteChange": 55579185,
      "percentChange": 16.94965281262098,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": -15530325,
      "latestValue": 16166309,
      "absoluteChange": 31696634,
      "percentChange": 204.09511069472143,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 288354910,
      "latestValue": 320946989,
      "absoluteChange": 32592079,
      "percentChange": 11.302765401150964,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 193792356,
      "latestValue": 193565494,
      "absoluteChange": -226862,
      "percentChange": -0.1170644728629028,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 35926265,
      "latestValue": 4301479,
      "absoluteChange": -31624786,
      "percentChange": -88.02692403454687,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1323.06,
      "latestValue": 1324.43,
      "absoluteChange": 1.3700000000001182,
      "percentChange": 0.10354783607698201,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 324,
      "latestValue": 332,
      "absoluteChange": 8,
      "percentChange": 2.4691358024691357,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 65569,
      "latestValue": 81572,
      "absoluteChange": 16003,
      "percentChange": 24.406350562003386,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 11594,
      "latestValue": 14103,
      "absoluteChange": 2509,
      "percentChange": 21.640503708814904,
      "unit": "discharges"
    }
  ]
}
