{ "schemaVersion": 3, "entityId": "450604", "canonicalName": "HILL COUNTRY MEMORIAL HOSPITAL", "status": "signal", "statusLabel": "Documented investment signal", "summary": "HILL COUNTRY MEMORIAL HOSPITAL 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": "450604", "npi": "1376256354", "historicalCcns": [], "aliases": [ { "alias": "METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "METHODIST HOSPITAL HILL COUNTRY", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-reportedowner-450604", "from_entity_id": "reported owner", "to_entity_id": "450604", "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 explicitly identifies at least one owner as an investment firm or private-equity company." } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [ { "metric_id": "450604-net_patient_revenue-03-31-2024", "entity_id": "450604", "metric_name": "net_patient_revenue", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "73405426", "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": "450604-net_patient_revenue-03-31-2023", "entity_id": "450604", "metric_name": "net_patient_revenue", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "18779716", "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": "450604-net_patient_revenue-12-31-2022", "entity_id": "450604", "metric_name": "net_patient_revenue", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "77664760", "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": "450604-operating_expense-03-31-2024", "entity_id": "450604", "metric_name": "operating_expense", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "84843118", "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": "450604-operating_expense-03-31-2023", "entity_id": "450604", "metric_name": "operating_expense", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "25065970", "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": "450604-operating_expense-12-31-2022", "entity_id": "450604", "metric_name": "operating_expense", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "94132370", "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": "450604-net_income-03-31-2024", "entity_id": "450604", "metric_name": "net_income", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "-11310426", "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": "450604-net_income-03-31-2023", "entity_id": "450604", "metric_name": "net_income", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "-5891402", "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": "450604-net_income-12-31-2022", "entity_id": "450604", "metric_name": "net_income", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "-12419121", "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": "450604-total_assets-03-31-2024", "entity_id": "450604", "metric_name": "total_assets", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "74102071", "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": "450604-total_assets-03-31-2023", "entity_id": "450604", "metric_name": "total_assets", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "185670919", "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": "450604-total_assets-12-31-2022", "entity_id": "450604", "metric_name": "total_assets", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "189927838", "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": "450604-total_liabilities-03-31-2024", "entity_id": "450604", "metric_name": "total_liabilities", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "85450709", "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": "450604-total_liabilities-03-31-2023", "entity_id": "450604", "metric_name": "total_liabilities", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "10326388", "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": "450604-total_liabilities-12-31-2022", "entity_id": "450604", "metric_name": "total_liabilities", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "12438128", "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": "450604-contract_labor_direct_patient_care-03-31-2024", "entity_id": "450604", "metric_name": "contract_labor_direct_patient_care", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "302932", "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": "450604-contract_labor_direct_patient_care-03-31-2023", "entity_id": "450604", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "999856", "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": "450604-contract_labor_direct_patient_care-12-31-2022", "entity_id": "450604", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "3580122", "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": "450604-fte_employees-03-31-2024", "entity_id": "450604", "metric_name": "fte_employees", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "247.18", "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": "450604-fte_employees-03-31-2023", "entity_id": "450604", "metric_name": "fte_employees", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "403", "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": "450604-fte_employees-12-31-2022", "entity_id": "450604", "metric_name": "fte_employees", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "338.55", "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": "450604-beds-03-31-2024", "entity_id": "450604", "metric_name": "beds", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "57", "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": "450604-beds-03-31-2023", "entity_id": "450604", "metric_name": "beds", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "57", "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": "450604-beds-12-31-2022", "entity_id": "450604", "metric_name": "beds", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "57", "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": "450604-patient_days-03-31-2024", "entity_id": "450604", "metric_name": "patient_days", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "6756", "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": "450604-patient_days-03-31-2023", "entity_id": "450604", "metric_name": "patient_days", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "1392", "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": "450604-patient_days-12-31-2022", "entity_id": "450604", "metric_name": "patient_days", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "4845", "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": "450604-discharges-03-31-2024", "entity_id": "450604", "metric_name": "discharges", "period_start": "04/01/2023", "period_end": "03/31/2024", "value": "2058", "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": "450604-discharges-03-31-2023", "entity_id": "450604", "metric_name": "discharges", "period_start": "01/01/2023", "period_end": "03/31/2023", "value": "448", "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": "450604-discharges-12-31-2022", "entity_id": "450604", "metric_name": "discharges", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "1642", "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": "HCA INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.", "role": "GENERAL PARTNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "20", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.", "role": "LIMITED PARTNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "30", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "04/01/2023", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ERIC SMITH", "role": "CONTRACTED MANAGING EMPLOYEE", "association_date": "03/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HCA HEALTHCARE INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WOMEN'S HOSPITAL INDIANAPOLIS, L.P.", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JUSTIN DAVIS", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JUSTIN DAVIS", "role": "W-2 MANAGING EMPLOYEE", "association_date": "04/01/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HERCULES HOLDING II", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "18", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "W & C HOSPITAL, INC.", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "8.24", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "W & C HOSPITAL, INC.", "role": "LIMITED PARTNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "8.24", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CLINT KOTAL", "role": "CORPORATE OFFICER", "association_date": "04/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CLINT KOTAL", "role": "W-2 MANAGING EMPLOYEE", "association_date": "04/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SAN ANTONIO REGIONAL HOSPITAL, INC.", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "6.72", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SAN ANTONIO REGIONAL HOSPITAL, INC.", "role": "LIMITED PARTNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "6.72", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HEALTHTRUST INC - THE HOSPITAL COMPANY", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MGH MEDICAL INC.", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "10.06", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MGH MEDICAL INC.", "role": "LIMITED PARTNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "10.06", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "INDIANAPOLIS HOSPITAL PARTNER, LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "99", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "FRISCO HOLDING II", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "53", "investment_firm": true, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "COLUMBIA-HCA HEALTHCARE CORPORATION OF CENTRAL TEXAS", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "22.62", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HTI HOSPITAL HOLDINGS INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/01/2023", "percentage_ownership": "78.08", "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:450604", "label": "HILL COUNTRY MEMORIAL HOSPITAL", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:methodist-healthcare-ministries-of-south-texas-inc", "label": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:hca-inc:0", "label": "HCA INC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:1", "label": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:2", "label": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.", "kind": "cms_owner_or_controller", "evidence": "GENERAL PARTNERSHIP INTEREST" }, { "id": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:3", "label": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.", "kind": "cms_owner_or_controller", "evidence": "LIMITED PARTNERSHIP INTEREST" }, { "id": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:4", "label": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:eric-smith:5", "label": "ERIC SMITH", "kind": "cms_owner_or_controller", "evidence": "CONTRACTED MANAGING EMPLOYEE" }, { "id": "cms-owner:hca-healthcare-inc:6", "label": "HCA HEALTHCARE INC", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:women-s-hospital-indianapolis-l-p:7", "label": "WOMEN'S HOSPITAL INDIANAPOLIS, L.P.", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:justin-davis:8", "label": "JUSTIN DAVIS", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:justin-davis:9", "label": "JUSTIN DAVIS", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:hercules-holding-ii:10", "label": "HERCULES HOLDING II", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:w-and-c-hospital-inc:11", "label": "W & C HOSPITAL, INC.", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:w-and-c-hospital-inc:12", "label": "W & C HOSPITAL, INC.", "kind": "cms_owner_or_controller", "evidence": "LIMITED PARTNERSHIP INTEREST" }, { "id": "cms-owner:clint-kotal:13", "label": "CLINT KOTAL", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:clint-kotal:14", "label": "CLINT KOTAL", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:san-antonio-regional-hospital-inc:15", "label": "SAN ANTONIO REGIONAL HOSPITAL, INC.", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" } ], "edges": [ { "id": "organization:methodist-healthcare-ministries-of-south-texas-inc->facility:450604", "from": "organization:methodist-healthcare-ministries-of-south-texas-inc", "to": "facility:450604", "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:hca-inc:0->facility:450604", "from": "cms-owner:hca-inc:0", "to": "facility:450604", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:1->facility:450604", "from": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:1", "to": "facility:450604", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:2->facility:450604", "from": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:2", "to": "facility:450604", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "GENERAL PARTNERSHIP INTEREST · 20% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:3->facility:450604", "from": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:3", "to": "facility:450604", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "LIMITED PARTNERSHIP INTEREST · 30% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:4->facility:450604", "from": "cms-owner:methodist-healthcare-ministries-of-south-texas-inc:4", "to": "facility:450604", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · 50% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:eric-smith:5->facility:450604", "from": "cms-owner:eric-smith:5", "to": "facility:450604", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CONTRACTED MANAGING EMPLOYEE · associated 03/01/2021" }, { "id": "cms-owner:hca-healthcare-inc:6->facility:450604", "from": "cms-owner:hca-healthcare-inc:6", "to": "facility:450604", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:women-s-hospital-indianapolis-l-p:7->facility:450604", "from": "cms-owner:women-s-hospital-indianapolis-l-p:7", "to": "facility:450604", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:justin-davis:8->facility:450604", "from": "cms-owner:justin-davis:8", "to": "facility:450604", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 04/01/2025" }, { "id": "cms-owner:justin-davis:9->facility:450604", "from": "cms-owner:justin-davis:9", "to": "facility:450604", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · 0% reported ownership · associated 04/01/2025" }, { "id": "cms-owner:hercules-holding-ii:10->facility:450604", "from": "cms-owner:hercules-holding-ii:10", "to": "facility:450604", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 18% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:w-and-c-hospital-inc:11->facility:450604", "from": "cms-owner:w-and-c-hospital-inc:11", "to": "facility:450604", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 8.24% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:w-and-c-hospital-inc:12->facility:450604", "from": "cms-owner:w-and-c-hospital-inc:12", "to": "facility:450604", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "LIMITED PARTNERSHIP INTEREST · 8.24% reported ownership · associated 04/01/2023" }, { "id": "cms-owner:clint-kotal:13->facility:450604", "from": "cms-owner:clint-kotal:13", "to": "facility:450604", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 04/01/2023" }, { "id": "cms-owner:clint-kotal:14->facility:450604", "from": "cms-owner:clint-kotal:14", "to": "facility:450604", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 04/01/2023" }, { "id": "cms-owner:san-antonio-regional-hospital-inc:15->facility:450604", "from": "cms-owner:san-antonio-regional-hospital-inc:15", "to": "facility:450604", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 6.72% reported ownership · associated 04/01/2023" } ], "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": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": 77664760, "latestValue": 73405426, "absoluteChange": -4259334, "percentChange": -5.484255664988858, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": 94132370, "latestValue": 84843118, "absoluteChange": -9289252, "percentChange": -9.86828654160094, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": -12419121, "latestValue": -11310426, "absoluteChange": 1108695, "percentChange": 8.92732263418643, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": 189927838, "latestValue": 74102071, "absoluteChange": -115825767, "percentChange": -60.98409175804971, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": 12438128, "latestValue": 85450709, "absoluteChange": 73012581, "percentChange": 587.0061877478669, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": 3580122, "latestValue": 302932, "absoluteChange": -3277190, "percentChange": -91.53850064327416, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": 338.55, "latestValue": 247.18, "absoluteChange": -91.37, "percentChange": -26.98862797223453, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": 57, "latestValue": 57, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": 4845, "latestValue": 6756, "absoluteChange": 1911, "percentChange": 39.44272445820434, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "12/31/2022", "latestPeriod": "03/31/2024", "earliestValue": 1642, "latestValue": 2058, "absoluteChange": 416, "percentChange": 25.334957369062117, "unit": "discharges" } ] }