{
  "schemaVersion": 3,
  "entityId": "450034",
  "canonicalName": "CHRISTUS SOUTHEAST TEXAS - ST. ELIZABETH",
  "status": "pe_contract",
  "statusLabel": "PE-backed service contract",
  "summary": "CHRISTUS SOUTHEAST TEXAS - ST. ELIZABETH is part of the Valley Health case. The documented PE relationship is a clinical staffing or management contract with SCP Health, an Onex portfolio company; it is not a sale of the hospital.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "primary-source contract documentation",
    "confidence": "high",
    "source_count": 9,
    "ownership_source_count": 3,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "450034",
    "npi": "1679557888",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "CHRISTUS HEALTH SOUTHEAST TEXAS",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "CHRISTUS SOUTHEAST TEXAS- ST. ELIZABETH",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-scp-health-450034",
      "from_entity_id": "scp-health",
      "to_entity_id": "450034",
      "relationship_type": "manages",
      "effective_date": "2026-09-30",
      "end_date": "",
      "announcement_date": "2026-04-07",
      "status": "announced",
      "confidence": "high",
      "source_ids": "source-valley-contract-reporting|source-onex-scp|source-acep-valley",
      "plain_english_summary": "Valley Health announced a clinical staffing and management transition to SCP Health. This is not an ownership transfer.",
      "review_notes": ""
    }
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      "better_when": "context_dependent",
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      "better_when": "context_dependent",
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      "metric_id": "450034-operating_expense-06-30-2024",
      "entity_id": "450034",
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      "unit": "USD",
      "better_when": "context_dependent",
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      "unit": "USD",
      "better_when": "context_dependent",
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    },
    {
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  ],
  "cmsOwnerRecords": [
    {
      "organization": "PAUL TREVINO",
      "role": "CORPORATE OFFICER",
      "association_date": "01/16/2014",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "PAUL TREVINO",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/16/2014",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
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    },
    {
      "organization": "CHRISTUS HEALTH",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "02/01/1999",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
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    },
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      "organization": "KIM-PHUONG TRAN",
      "role": "CORPORATE DIRECTOR",
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      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
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    },
    {
      "organization": "KIMBERLY WEBB",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/07/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
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    },
    {
      "organization": "ROY STEINHAGEN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2026",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
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    },
    {
      "organization": "SHAWN ADAMS",
      "role": "CORPORATE OFFICER",
      "association_date": "03/01/2014",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SHAWN ADAMS",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "03/01/2014",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
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    },
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      "organization": "SONIA ACOSTA",
      "role": "CORPORATE DIRECTOR",
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      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
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    },
    {
      "organization": "FADI NASRALLAH",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/07/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "SCP Health is the announced clinical staffing and management contractor.",
    "Onex identifies SCP Health as a portfolio company."
  ],
  "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 documented relationship is a clinical service contract. Valley Health remains a nonprofit system; this is not an ownership claim."
  ],
  "unavailableFields": [
    "Precise acquisition date",
    "Official facility URL"
  ],
  "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"
    },
    {
      "source_id": "source-valley-contract-reporting",
      "title": "Virginia system consolidates physician management, closes observation unit",
      "publisher": "Becker's Hospital Review",
      "publication_date": "2026-04-07",
      "retrieved_at": "2026-06-22",
      "url": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "reliability_tier": "reporting",
      "research_note": "Documents the contract scope, transition dates, stated rationale, and expected savings.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-onex-scp",
      "title": "SCP Health portfolio profile",
      "publisher": "Onex",
      "publication_date": "current portfolio page",
      "retrieved_at": "2026-06-22",
      "url": "https://www.onex.com/portfolio/OP-OpCo-SCPHealth",
      "reliability_tier": "primary",
      "research_note": "Primary-source confirmation that SCP Health is held through Onex Partners.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-acep-valley",
      "title": "Joint statement on due process, transparency, and due diligence in emergency medicine contracting",
      "publisher": "ACEP and VACEP",
      "publication_date": "2026-04-16",
      "retrieved_at": "2026-06-22",
      "url": "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians",
      "reliability_tier": "primary",
      "research_note": "Professional-association response requesting notice, transparency, and physician involvement.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "high",
    "nodes": [
      {
        "id": "facility:450034",
        "label": "CHRISTUS SOUTHEAST TEXAS - ST. ELIZABETH",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:onex-partners",
        "label": "Onex Partners",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:christus-health",
        "label": "Christus Health",
        "kind": "contractor",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:paul-trevino:0",
        "label": "PAUL TREVINO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:paul-trevino:1",
        "label": "PAUL TREVINO",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:christus-health:2",
        "label": "CHRISTUS HEALTH",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:kim-phuong-tran:3",
        "label": "KIM-PHUONG TRAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kimberly-webb:4",
        "label": "KIMBERLY WEBB",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:roy-steinhagen:5",
        "label": "ROY STEINHAGEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:shawn-adams:6",
        "label": "SHAWN ADAMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:shawn-adams:7",
        "label": "SHAWN ADAMS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:sonia-acosta:8",
        "label": "SONIA ACOSTA",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:fadi-nasrallah:9",
        "label": "FADI NASRALLAH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:onex-partners->organization:christus-health",
        "from": "organization:onex-partners",
        "to": "organization:christus-health",
        "relationship": "sponsors",
        "confidence": "high",
        "sourceIds": [
          "source-valley-contract-reporting",
          "source-onex-scp",
          "source-acep-valley"
        ],
        "note": "Primary portfolio evidence identifies the contractor as a sponsor portfolio company."
      },
      {
        "id": "organization:christus-health->facility:450034",
        "from": "organization:christus-health",
        "to": "facility:450034",
        "relationship": "manages or staffs under contract",
        "confidence": "high",
        "sourceIds": [
          "source-valley-contract-reporting",
          "source-onex-scp",
          "source-acep-valley"
        ],
        "note": "This is a service contract, not an ownership transfer."
      },
      {
        "id": "cms-owner:paul-trevino:0->facility:450034",
        "from": "cms-owner:paul-trevino:0",
        "to": "facility:450034",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/16/2014"
      },
      {
        "id": "cms-owner:paul-trevino:1->facility:450034",
        "from": "cms-owner:paul-trevino:1",
        "to": "facility:450034",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/16/2014"
      },
      {
        "id": "cms-owner:christus-health:2->facility:450034",
        "from": "cms-owner:christus-health:2",
        "to": "facility:450034",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/01/1999"
      },
      {
        "id": "cms-owner:kim-phuong-tran:3->facility:450034",
        "from": "cms-owner:kim-phuong-tran:3",
        "to": "facility:450034",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:kimberly-webb:4->facility:450034",
        "from": "cms-owner:kimberly-webb:4",
        "to": "facility:450034",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/07/2024"
      },
      {
        "id": "cms-owner:roy-steinhagen:5->facility:450034",
        "from": "cms-owner:roy-steinhagen:5",
        "to": "facility:450034",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2026"
      },
      {
        "id": "cms-owner:shawn-adams:6->facility:450034",
        "from": "cms-owner:shawn-adams:6",
        "to": "facility:450034",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 03/01/2014"
      },
      {
        "id": "cms-owner:shawn-adams:7->facility:450034",
        "from": "cms-owner:shawn-adams:7",
        "to": "facility:450034",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 03/01/2014"
      },
      {
        "id": "cms-owner:sonia-acosta:8->facility:450034",
        "from": "cms-owner:sonia-acosta:8",
        "to": "facility:450034",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/16/2024"
      },
      {
        "id": "cms-owner:fadi-nasrallah:9->facility:450034",
        "from": "cms-owner:fadi-nasrallah:9",
        "to": "facility:450034",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/07/2024"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.",
      "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence.",
      "A management or staffing contract is not hospital ownership."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 381754543,
      "latestValue": 429325156,
      "absoluteChange": 47570613,
      "percentChange": 12.461046992700753,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 383857677,
      "latestValue": 416961181,
      "absoluteChange": 33103504,
      "percentChange": 8.623900467151527,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 22494226,
      "latestValue": 26181841,
      "absoluteChange": 3687615,
      "percentChange": 16.3936069638493,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 284748079,
      "latestValue": 268022334,
      "absoluteChange": -16725745,
      "percentChange": -5.8738745696683,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 71675008,
      "latestValue": 19843239,
      "absoluteChange": -51831769,
      "percentChange": -72.31498181346558,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 14659177,
      "latestValue": 2911277,
      "absoluteChange": -11747900,
      "percentChange": -80.14024252521133,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1493.94,
      "latestValue": 1653.02,
      "absoluteChange": 159.07999999999993,
      "percentChange": 10.648352678153067,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 353,
      "latestValue": 353,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 73265,
      "latestValue": 74955,
      "absoluteChange": 1690,
      "percentChange": 2.3066948747696716,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 14495,
      "latestValue": 15578,
      "absoluteChange": 1083,
      "percentChange": 7.471541911003794,
      "unit": "discharges"
    }
  ]
}