{
  "schemaVersion": 3,
  "entityId": "370091",
  "canonicalName": "SAINT FRANCIS HOSPITAL, INC",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "SAINT FRANCIS HOSPITAL, INC 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"
  },
  "identifiers": {
    "ccn": "370091",
    "npi": "1144228487",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "SAINT FRANCIS HOSPITAL, INC.",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-370091",
      "from_entity_id": "reported owner",
      "to_entity_id": "370091",
      "relationship_type": "venture_backing",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "undefined is reported as an investment backer; this is not treated as a completed ownership claim.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "370091-net_patient_revenue-06-30-2024",
      "entity_id": "370091",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "1629323488",
      "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": "370091-net_patient_revenue-06-30-2023",
      "entity_id": "370091",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "1436532625",
      "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": "370091-net_patient_revenue-06-30-2022",
      "entity_id": "370091",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "1374133615",
      "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": "370091-operating_expense-06-30-2024",
      "entity_id": "370091",
      "metric_name": "operating_expense",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "1434966756",
      "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": "370091-operating_expense-06-30-2023",
      "entity_id": "370091",
      "metric_name": "operating_expense",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "1310070120",
      "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": "370091-operating_expense-06-30-2022",
      "entity_id": "370091",
      "metric_name": "operating_expense",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "1225617632",
      "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": "370091-net_income-06-30-2024",
      "entity_id": "370091",
      "metric_name": "net_income",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "457494903",
      "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": "370091-net_income-06-30-2023",
      "entity_id": "370091",
      "metric_name": "net_income",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "323708066",
      "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": "370091-net_income-06-30-2022",
      "entity_id": "370091",
      "metric_name": "net_income",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "-19825000",
      "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": "370091-total_assets-06-30-2024",
      "entity_id": "370091",
      "metric_name": "total_assets",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "4116812909",
      "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": "370091-total_assets-06-30-2023",
      "entity_id": "370091",
      "metric_name": "total_assets",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "3686052587",
      "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": "370091-total_assets-06-30-2022",
      "entity_id": "370091",
      "metric_name": "total_assets",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "3391014738",
      "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": "370091-total_liabilities-06-30-2024",
      "entity_id": "370091",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "264699670",
      "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": "370091-total_liabilities-06-30-2023",
      "entity_id": "370091",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "192928910",
      "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": "370091-total_liabilities-06-30-2022",
      "entity_id": "370091",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "184114871",
      "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": "370091-contract_labor_direct_patient_care-06-30-2024",
      "entity_id": "370091",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "16588442",
      "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": "370091-contract_labor_direct_patient_care-06-30-2023",
      "entity_id": "370091",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "33826488",
      "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": "370091-contract_labor_direct_patient_care-06-30-2022",
      "entity_id": "370091",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "31321692",
      "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": "370091-fte_employees-06-30-2024",
      "entity_id": "370091",
      "metric_name": "fte_employees",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "6286.71",
      "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": "370091-fte_employees-06-30-2023",
      "entity_id": "370091",
      "metric_name": "fte_employees",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "5545.46",
      "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": "370091-fte_employees-06-30-2022",
      "entity_id": "370091",
      "metric_name": "fte_employees",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "5405.66",
      "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": "370091-beds-06-30-2024",
      "entity_id": "370091",
      "metric_name": "beds",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "903",
      "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": "370091-beds-06-30-2023",
      "entity_id": "370091",
      "metric_name": "beds",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "888",
      "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": "370091-beds-06-30-2022",
      "entity_id": "370091",
      "metric_name": "beds",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "883",
      "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": "370091-patient_days-06-30-2024",
      "entity_id": "370091",
      "metric_name": "patient_days",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "259318",
      "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": "370091-patient_days-06-30-2023",
      "entity_id": "370091",
      "metric_name": "patient_days",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "251562",
      "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": "370091-patient_days-06-30-2022",
      "entity_id": "370091",
      "metric_name": "patient_days",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "247265",
      "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": "370091-discharges-06-30-2024",
      "entity_id": "370091",
      "metric_name": "discharges",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "47584",
      "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": "370091-discharges-06-30-2023",
      "entity_id": "370091",
      "metric_name": "discharges",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "45543",
      "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": "370091-discharges-06-30-2022",
      "entity_id": "370091",
      "metric_name": "discharges",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "43763",
      "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": "LAURA STUEMKY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "08/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SAINT FRANCIS HEALTH SYSTEM INC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "07/01/1966",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SAINT FRANCIS HEALTH SYSTEM INC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "07/01/1966",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JUDITH KISHNER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2007",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM WARREN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/24/1997",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BARRY STEICHEN",
      "role": "CORPORATE OFFICER",
      "association_date": "09/01/1997",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BARRY STEICHEN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/01/1997",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BARRY STEICHEN",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "09/01/1997",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SAILATHA THOMAS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "THOMAS COOPER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL CASE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2006",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GARY KASTL",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID KONDERLA",
      "role": "CORPORATE OFFICER",
      "association_date": "12/13/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL LISSAU",
      "role": "CORPORATE OFFICER",
      "association_date": "08/01/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MIKE COOKE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2014",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEFFREY SMITH",
      "role": "OTHER",
      "association_date": "12/10/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOHN KELLY WARREN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/1997",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DEBORAH DAGE",
      "role": "CORPORATE OFFICER",
      "association_date": "08/31/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DEBORAH DAGE",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "08/31/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DOUGLAS WILLIAMS",
      "role": "CORPORATE OFFICER",
      "association_date": "12/01/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CLIFF ROBERTSON",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CLIFF ROBERTSON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CLIFF ROBERTSON",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2021",
      "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:370091",
        "label": "SAINT FRANCIS HOSPITAL, INC",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:saint-francis-health-system-inc",
        "label": "SAINT FRANCIS HEALTH SYSTEM INC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:laura-stuemky:0",
        "label": "LAURA STUEMKY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:saint-francis-health-system-inc:1",
        "label": "SAINT FRANCIS HEALTH SYSTEM INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:saint-francis-health-system-inc:2",
        "label": "SAINT FRANCIS HEALTH SYSTEM INC",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:judith-kishner:3",
        "label": "JUDITH KISHNER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:william-warren:4",
        "label": "WILLIAM WARREN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:barry-steichen:5",
        "label": "BARRY STEICHEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:barry-steichen:6",
        "label": "BARRY STEICHEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:barry-steichen:7",
        "label": "BARRY STEICHEN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:sailatha-thomas:8",
        "label": "SAILATHA THOMAS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:thomas-cooper:9",
        "label": "THOMAS COOPER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:michael-case:10",
        "label": "MICHAEL CASE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:gary-kastl:11",
        "label": "GARY KASTL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:david-konderla:12",
        "label": "DAVID KONDERLA",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:michael-lissau:13",
        "label": "MICHAEL LISSAU",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:mike-cooke:14",
        "label": "MIKE COOKE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jeffrey-smith:15",
        "label": "JEFFREY SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      }
    ],
    "edges": [
      {
        "id": "organization:saint-francis-health-system-inc->facility:370091",
        "from": "organization:saint-francis-health-system-inc",
        "to": "facility:370091",
        "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:laura-stuemky:0->facility:370091",
        "from": "cms-owner:laura-stuemky:0",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/01/2022"
      },
      {
        "id": "cms-owner:saint-francis-health-system-inc:1->facility:370091",
        "from": "cms-owner:saint-francis-health-system-inc:1",
        "to": "facility:370091",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · associated 07/01/1966"
      },
      {
        "id": "cms-owner:saint-francis-health-system-inc:2->facility:370091",
        "from": "cms-owner:saint-francis-health-system-inc:2",
        "to": "facility:370091",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 07/01/1966"
      },
      {
        "id": "cms-owner:judith-kishner:3->facility:370091",
        "from": "cms-owner:judith-kishner:3",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2007"
      },
      {
        "id": "cms-owner:william-warren:4->facility:370091",
        "from": "cms-owner:william-warren:4",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/24/1997"
      },
      {
        "id": "cms-owner:barry-steichen:5->facility:370091",
        "from": "cms-owner:barry-steichen:5",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/01/1997"
      },
      {
        "id": "cms-owner:barry-steichen:6->facility:370091",
        "from": "cms-owner:barry-steichen:6",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/01/1997"
      },
      {
        "id": "cms-owner:barry-steichen:7->facility:370091",
        "from": "cms-owner:barry-steichen:7",
        "to": "facility:370091",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 09/01/1997"
      },
      {
        "id": "cms-owner:sailatha-thomas:8->facility:370091",
        "from": "cms-owner:sailatha-thomas:8",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:thomas-cooper:9->facility:370091",
        "from": "cms-owner:thomas-cooper:9",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2021"
      },
      {
        "id": "cms-owner:michael-case:10->facility:370091",
        "from": "cms-owner:michael-case:10",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2006"
      },
      {
        "id": "cms-owner:gary-kastl:11->facility:370091",
        "from": "cms-owner:gary-kastl:11",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2019"
      },
      {
        "id": "cms-owner:david-konderla:12->facility:370091",
        "from": "cms-owner:david-konderla:12",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 12/13/2016"
      },
      {
        "id": "cms-owner:michael-lissau:13->facility:370091",
        "from": "cms-owner:michael-lissau:13",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 08/01/2018"
      },
      {
        "id": "cms-owner:mike-cooke:14->facility:370091",
        "from": "cms-owner:mike-cooke:14",
        "to": "facility:370091",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2014"
      },
      {
        "id": "cms-owner:jeffrey-smith:15->facility:370091",
        "from": "cms-owner:jeffrey-smith:15",
        "to": "facility:370091",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 12/10/2019"
      }
    ],
    "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": 1374133615,
      "latestValue": 1629323488,
      "absoluteChange": 255189873,
      "percentChange": 18.57096502220419,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1225617632,
      "latestValue": 1434966756,
      "absoluteChange": 209349124,
      "percentChange": 17.081112292614275,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": -19825000,
      "latestValue": 457494903,
      "absoluteChange": 477319903,
      "percentChange": 2407.666597730139,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 3391014738,
      "latestValue": 4116812909,
      "absoluteChange": 725798171,
      "percentChange": 21.403568756768994,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 184114871,
      "latestValue": 264699670,
      "absoluteChange": 80584799,
      "percentChange": 43.768761622737145,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 31321692,
      "latestValue": 16588442,
      "absoluteChange": -14733250,
      "percentChange": -47.03848693742343,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 5405.66,
      "latestValue": 6286.71,
      "absoluteChange": 881.0500000000002,
      "percentChange": 16.298657333239607,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 883,
      "latestValue": 903,
      "absoluteChange": 20,
      "percentChange": 2.2650056625141564,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 247265,
      "latestValue": 259318,
      "absoluteChange": 12053,
      "percentChange": 4.874527328979031,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 43763,
      "latestValue": 47584,
      "absoluteChange": 3821,
      "percentChange": 8.73111989580239,
      "unit": "discharges"
    }
  ]
}
