{ "schemaVersion": 3, "entityId": "450659", "canonicalName": "HCA HOUSTON HEALTHCARE MEDICAL CENTER", "status": "signal", "statusLabel": "Documented investment signal", "summary": "HCA HOUSTON HEALTHCARE MEDICAL CENTER appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.", "lastReviewed": "2026-06-22", "review": { "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate", "evidence_grade": "government-corroborated", "confidence": "medium", "source_count": 6, "ownership_source_count": 2, "identity_match_method": "CCN exact match", "publication_decision": "Meets the Phase 3 publication standard for its displayed status" }, "identifiers": { "ccn": "450659", "npi": "1073043592", "historicalCcns": [], "aliases": [ { "alias": "HOUSTON - PPH, LLC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "HCA HOUSTON HEALTHCARE MEDICAL CENTER", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-hca-450659", "from_entity_id": "HCA Healthcare", "to_entity_id": "450659", "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": "HCA Healthcare 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": "450659-net_patient_revenue-07-31-2024", "entity_id": "450659", "metric_name": "net_patient_revenue", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "232911597", "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": "450659-net_patient_revenue-07-31-2023", "entity_id": "450659", "metric_name": "net_patient_revenue", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "170165517", "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": "450659-net_patient_revenue-07-31-2022", "entity_id": "450659", "metric_name": "net_patient_revenue", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "145642587", "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": "450659-operating_expense-07-31-2024", "entity_id": "450659", "metric_name": "operating_expense", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "257814999", "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": "450659-operating_expense-07-31-2023", "entity_id": "450659", "metric_name": "operating_expense", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "188924415", "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": "450659-operating_expense-07-31-2022", "entity_id": "450659", "metric_name": "operating_expense", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "157790730", "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": "450659-net_income-07-31-2024", "entity_id": "450659", "metric_name": "net_income", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "-21160288", "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": "450659-net_income-07-31-2023", "entity_id": "450659", "metric_name": "net_income", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "-14352348", "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": "450659-net_income-07-31-2022", "entity_id": "450659", "metric_name": "net_income", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "-9125127", "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": "450659-total_assets-07-31-2024", "entity_id": "450659", "metric_name": "total_assets", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "202914067", "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": "450659-total_assets-07-31-2023", "entity_id": "450659", "metric_name": "total_assets", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "172677184", "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": "450659-total_assets-07-31-2022", "entity_id": "450659", "metric_name": "total_assets", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "131209905", "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": "450659-total_liabilities-07-31-2024", "entity_id": "450659", "metric_name": "total_liabilities", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "291561799", "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": "450659-total_liabilities-07-31-2023", "entity_id": "450659", "metric_name": "total_liabilities", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "243455205", "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": "450659-total_liabilities-07-31-2022", "entity_id": "450659", "metric_name": "total_liabilities", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "188326056", "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": "450659-contract_labor_direct_patient_care-07-31-2024", "entity_id": "450659", "metric_name": "contract_labor_direct_patient_care", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "2585697", "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": "450659-contract_labor_direct_patient_care-07-31-2023", "entity_id": "450659", "metric_name": "contract_labor_direct_patient_care", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "1875890", "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": "450659-contract_labor_direct_patient_care-07-31-2022", "entity_id": "450659", "metric_name": "contract_labor_direct_patient_care", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "3846429", "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": "450659-fte_employees-07-31-2024", "entity_id": "450659", "metric_name": "fte_employees", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "560.26", "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": "450659-fte_employees-07-31-2023", "entity_id": "450659", "metric_name": "fte_employees", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "385.27", "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": "450659-fte_employees-07-31-2022", "entity_id": "450659", "metric_name": "fte_employees", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "377.32", "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": "450659-beds-07-31-2024", "entity_id": "450659", "metric_name": "beds", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "156", "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": "450659-beds-07-31-2023", "entity_id": "450659", "metric_name": "beds", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "147", "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": "450659-beds-07-31-2022", "entity_id": "450659", "metric_name": "beds", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "147", "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": "450659-patient_days-07-31-2024", "entity_id": "450659", "metric_name": "patient_days", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "30334", "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": "450659-patient_days-07-31-2023", "entity_id": "450659", "metric_name": "patient_days", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "25299", "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": "450659-patient_days-07-31-2022", "entity_id": "450659", "metric_name": "patient_days", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "21438", "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": "450659-discharges-07-31-2024", "entity_id": "450659", "metric_name": "discharges", "period_start": "08/01/2023", "period_end": "07/31/2024", "value": "5342", "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": "450659-discharges-07-31-2023", "entity_id": "450659", "metric_name": "discharges", "period_start": "08/01/2022", "period_end": "07/31/2023", "value": "4438", "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": "450659-discharges-07-31-2022", "entity_id": "450659", "metric_name": "discharges", "period_start": "08/01/2021", "period_end": "07/31/2022", "value": "4091", "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 SQUARED LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "5.37", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HCA INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "100", "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": "05/23/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HOUSTON HEALTHCARE HOLDINGS, INC", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "COLUMBIA/HCA OF HOUSTON, INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WOMEN'S HOSPITAL INDIANAPOLIS, L.P.", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "18.27", "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": "05/23/2017", "percentage_ownership": "18", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HCA HEALTH SERVICES OF TEXAS INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "10.6", "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": "05/23/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HOSPITAL CORP LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "5.37", "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": "05/23/2017", "percentage_ownership": "18.09", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "COLUMBIA HOSPITAL CORPORATION OF WEST HOUSTON", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "5.61", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ELLA STENSTROM", "role": "CORPORATE OFFICER", "association_date": "12/15/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ELLA STENSTROM", "role": "W-2 MANAGING EMPLOYEE", "association_date": "12/15/2025", "percentage_ownership": "", "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": "05/23/2017", "percentage_ownership": "9.54", "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": "05/23/2017", "percentage_ownership": "24.76", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROBERT SABINA", "role": "CORPORATE OFFICER", "association_date": "12/30/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROBERT SABINA", "role": "W-2 MANAGING EMPLOYEE", "association_date": "12/30/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HEALTHSERV ACQUISITION LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "10.6", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "COLUMBIA HOSPITAL CORPORATION - DELAWARE", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "05/23/2017", "percentage_ownership": "6.49", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "directConnections": [ "Reported parent system or portfolio company: HCA Healthcare." ], "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:450659", "label": "HCA HOUSTON HEALTHCARE MEDICAL CENTER", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:hca-healthcare", "label": "HCA Healthcare", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:hca-squared-llc:0", "label": "HCA SQUARED LLC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:hca-inc:1", "label": "HCA INC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:eric-smith:2", "label": "ERIC SMITH", "kind": "cms_owner_or_controller", "evidence": "CONTRACTED MANAGING EMPLOYEE" }, { "id": "cms-owner:hca-healthcare-inc:3", "label": "HCA HEALTHCARE INC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:houston-healthcare-holdings-inc:4", "label": "HOUSTON HEALTHCARE HOLDINGS, INC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:columbia-hca-of-houston-inc:5", "label": "COLUMBIA/HCA OF HOUSTON, INC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:women-s-hospital-indianapolis-l-p:6", "label": "WOMEN'S HOSPITAL INDIANAPOLIS, L.P.", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:hercules-holding-ii:7", "label": "HERCULES HOLDING II", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:hca-health-services-of-texas-inc:8", "label": "HCA HEALTH SERVICES OF TEXAS INC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:healthtrust-inc-the-hospital-company:9", "label": "HEALTHTRUST INC - THE HOSPITAL COMPANY", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:hospital-corp-llc:10", "label": "HOSPITAL CORP LLC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:indianapolis-hospital-partner-llc:11", "label": "INDIANAPOLIS HOSPITAL PARTNER, LLC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:columbia-hospital-corporation-of-west-houston:12", "label": "COLUMBIA HOSPITAL CORPORATION OF WEST HOUSTON", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:ella-stenstrom:13", "label": "ELLA STENSTROM", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:ella-stenstrom:14", "label": "ELLA STENSTROM", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:frisco-holding-ii:15", "label": "FRISCO HOLDING II", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" } ], "edges": [ { "id": "organization:hca-healthcare->facility:450659", "from": "organization:hca-healthcare", "to": "facility:450659", "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-squared-llc:0->facility:450659", "from": "cms-owner:hca-squared-llc:0", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5.37% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:hca-inc:1->facility:450659", "from": "cms-owner:hca-inc:1", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:eric-smith:2->facility:450659", "from": "cms-owner:eric-smith:2", "to": "facility:450659", "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:3->facility:450659", "from": "cms-owner:hca-healthcare-inc:3", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:houston-healthcare-holdings-inc:4->facility:450659", "from": "cms-owner:houston-healthcare-holdings-inc:4", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:columbia-hca-of-houston-inc:5->facility:450659", "from": "cms-owner:columbia-hca-of-houston-inc:5", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:women-s-hospital-indianapolis-l-p:6->facility:450659", "from": "cms-owner:women-s-hospital-indianapolis-l-p:6", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 18.27% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:hercules-holding-ii:7->facility:450659", "from": "cms-owner:hercules-holding-ii:7", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 18% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:hca-health-services-of-texas-inc:8->facility:450659", "from": "cms-owner:hca-health-services-of-texas-inc:8", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 10.6% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:healthtrust-inc-the-hospital-company:9->facility:450659", "from": "cms-owner:healthtrust-inc-the-hospital-company:9", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:hospital-corp-llc:10->facility:450659", "from": "cms-owner:hospital-corp-llc:10", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5.37% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:indianapolis-hospital-partner-llc:11->facility:450659", "from": "cms-owner:indianapolis-hospital-partner-llc:11", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 18.09% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:columbia-hospital-corporation-of-west-houston:12->facility:450659", "from": "cms-owner:columbia-hospital-corporation-of-west-houston:12", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5.61% reported ownership · associated 05/23/2017" }, { "id": "cms-owner:ella-stenstrom:13->facility:450659", "from": "cms-owner:ella-stenstrom:13", "to": "facility:450659", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 12/15/2025" }, { "id": "cms-owner:ella-stenstrom:14->facility:450659", "from": "cms-owner:ella-stenstrom:14", "to": "facility:450659", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 12/15/2025" }, { "id": "cms-owner:frisco-holding-ii:15->facility:450659", "from": "cms-owner:frisco-holding-ii:15", "to": "facility:450659", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9.54% reported ownership · associated 05/23/2017" } ], "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": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": 145642587, "latestValue": 232911597, "absoluteChange": 87269010, "percentChange": 59.91998068531974, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": 157790730, "latestValue": 257814999, "absoluteChange": 100024269, "percentChange": 63.39045962966266, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": -9125127, "latestValue": -21160288, "absoluteChange": -12035161, "percentChange": -131.8903397180116, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": 131209905, "latestValue": 202914067, "absoluteChange": 71704162, "percentChange": 54.64843679293876, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": 188326056, "latestValue": 291561799, "absoluteChange": 103235743, "percentChange": 54.817556950271396, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": 3846429, "latestValue": 2585697, "absoluteChange": -1260732, "percentChange": -32.77668715580088, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": 377.32, "latestValue": 560.26, "absoluteChange": 182.94, "percentChange": 48.48404537262801, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": 147, "latestValue": 156, "absoluteChange": 9, "percentChange": 6.122448979591836, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": 21438, "latestValue": 30334, "absoluteChange": 8896, "percentChange": 41.49640824703797, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "07/31/2022", "latestPeriod": "07/31/2024", "earliestValue": 4091, "latestValue": 5342, "absoluteChange": 1251, "percentChange": 30.579320459545343, "unit": "discharges" } ] }