{
  "schemaVersion": 3,
  "entityId": "190298",
  "canonicalName": "CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for CENTRAL LOUISIANA SURGICAL HOSPITAL LLC. 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": "190298",
    "npi": "1164750840",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "CENTRAL LOUISIANA SURGICAL HOSPITAL LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-iracapital-190298",
      "from_entity_id": "IRA Capital",
      "to_entity_id": "190298",
      "relationship_type": "owns",
      "effective_date": "January 2022",
      "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 IRA Capital 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": [
    {
      "date": "January 2022",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
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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": "190298-net_patient_revenue-06-30-2023",
      "entity_id": "190298",
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      "period_end": "06/30/2023",
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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"
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      "metric_id": "190298-net_patient_revenue-06-30-2022",
      "entity_id": "190298",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
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      "entity_id": "190298",
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      "unit": "USD",
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      "source_id": "source-cms-hcris",
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      "metric_id": "190298-operating_expense-06-30-2023",
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  ],
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      "organization": "CHRISTUS HEALTH",
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      "association_date": "04/01/2021",
      "percentage_ownership": "51",
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      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MONTE WILSON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "04/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GARY RUFF",
      "role": "CORPORATE DIRECTOR",
      "association_date": "04/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GARY RUFF",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "04/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHRISTUS CONTINUING CARE",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "04/01/2021",
      "percentage_ownership": "51",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported investment sponsor: IRA 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": [],
  "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:190298",
        "label": "CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:ira-capital",
        "label": "IRA Capital",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:christus-health",
        "label": "Christus Health",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:christus-health:0",
        "label": "CHRISTUS HEALTH",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:renick-webb:1",
        "label": "RENICK WEBB",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:martin-sustainable-resources-llc:2",
        "label": "MARTIN SUSTAINABLE RESOURCES LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:clasc-llc:3",
        "label": "CLASC LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:spencer-martin:4",
        "label": "SPENCER MARTIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:christian-wold:5",
        "label": "CHRISTIAN WOLD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:steven-schaefer:6",
        "label": "STEVEN SCHAEFER",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:steven-schaefer:7",
        "label": "STEVEN SCHAEFER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:julienne-smith:8",
        "label": "JULIENNE SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:christus-ambulatory-services-holdings:9",
        "label": "CHRISTUS AMBULATORY SERVICES HOLDINGS",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:christus-ambulatory-services-holdings:10",
        "label": "CHRISTUS AMBULATORY SERVICES HOLDINGS",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:christopher-janik:11",
        "label": "CHRISTOPHER JANIK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:christopher-janik:12",
        "label": "CHRISTOPHER JANIK",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:melanie-firmin:13",
        "label": "MELANIE FIRMIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:monte-wilson:14",
        "label": "MONTE WILSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:ira-capital->organization:christus-health",
        "from": "organization:ira-capital",
        "to": "organization:christus-health",
        "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:christus-health->facility:190298",
        "from": "organization:christus-health",
        "to": "facility:190298",
        "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:christus-health:0->facility:190298",
        "from": "cms-owner:christus-health:0",
        "to": "facility:190298",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 51% reported ownership · associated 04/01/2021"
      },
      {
        "id": "cms-owner:renick-webb:1->facility:190298",
        "from": "cms-owner:renick-webb:1",
        "to": "facility:190298",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 2.68% reported ownership · associated 01/01/2017"
      },
      {
        "id": "cms-owner:martin-sustainable-resources-llc:2->facility:190298",
        "from": "cms-owner:martin-sustainable-resources-llc:2",
        "to": "facility:190298",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 10% reported ownership · associated 04/01/2021"
      },
      {
        "id": "cms-owner:clasc-llc:3->facility:190298",
        "from": "cms-owner:clasc-llc:3",
        "to": "facility:190298",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 39% reported ownership · associated 04/01/2021"
      },
      {
        "id": "cms-owner:spencer-martin:4->facility:190298",
        "from": "cms-owner:spencer-martin:4",
        "to": "facility:190298",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2024"
      },
      {
        "id": "cms-owner:christian-wold:5->facility:190298",
        "from": "cms-owner:christian-wold:5",
        "to": "facility:190298",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/01/2021"
      },
      {
        "id": "cms-owner:steven-schaefer:6->facility:190298",
        "from": "cms-owner:steven-schaefer:6",
        "to": "facility:190298",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · associated 02/01/2025"
      },
      {
        "id": "cms-owner:steven-schaefer:7->facility:190298",
        "from": "cms-owner:steven-schaefer:7",
        "to": "facility:190298",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 02/01/2025"
      },
      {
        "id": "cms-owner:julienne-smith:8->facility:190298",
        "from": "cms-owner:julienne-smith:8",
        "to": "facility:190298",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 12/06/2021"
      },
      {
        "id": "cms-owner:christus-ambulatory-services-holdings:9->facility:190298",
        "from": "cms-owner:christus-ambulatory-services-holdings:9",
        "to": "facility:190298",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 51% reported ownership · associated 04/01/2021"
      },
      {
        "id": "cms-owner:christus-ambulatory-services-holdings:10->facility:190298",
        "from": "cms-owner:christus-ambulatory-services-holdings:10",
        "to": "facility:190298",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 51% reported ownership · associated 04/01/2021"
      },
      {
        "id": "cms-owner:christopher-janik:11->facility:190298",
        "from": "cms-owner:christopher-janik:11",
        "to": "facility:190298",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/01/2021"
      },
      {
        "id": "cms-owner:christopher-janik:12->facility:190298",
        "from": "cms-owner:christopher-janik:12",
        "to": "facility:190298",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 04/01/2021"
      },
      {
        "id": "cms-owner:melanie-firmin:13->facility:190298",
        "from": "cms-owner:melanie-firmin:13",
        "to": "facility:190298",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/23/2022"
      },
      {
        "id": "cms-owner:monte-wilson:14->facility:190298",
        "from": "cms-owner:monte-wilson:14",
        "to": "facility:190298",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/01/2021"
      }
    ],
    "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": 57854981,
      "latestValue": 75898942,
      "absoluteChange": 18043961,
      "percentChange": 31.188258449173112,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 57165758,
      "latestValue": 69429278,
      "absoluteChange": 12263520,
      "percentChange": 21.452562563764133,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 944645,
      "latestValue": 7368492,
      "absoluteChange": 6423847,
      "percentChange": 680.0276294269275,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 27504976,
      "latestValue": 70608638,
      "absoluteChange": 43103662,
      "percentChange": 156.71223272472588,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 32187114,
      "latestValue": 27612075,
      "absoluteChange": -4575039,
      "percentChange": -14.213883854265404,
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    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "06/30/2024",
      "earliestValue": 190127,
      "latestValue": 12125,
      "absoluteChange": -178002,
      "percentChange": -93.62268378504895,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 291.82,
      "latestValue": 297.7,
      "absoluteChange": 5.8799999999999955,
      "percentChange": 2.014940716880267,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 24,
      "latestValue": 24,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1276,
      "latestValue": 897,
      "absoluteChange": -379,
      "percentChange": -29.702194357366775,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 533,
      "latestValue": 305,
      "absoluteChange": -228,
      "percentChange": -42.77673545966229,
      "unit": "discharges"
    }
  ]
}
