{ "schemaVersion": 3, "entityId": "450670", "canonicalName": "HCA HOUSTON HEALTHCARE TOMBALL", "status": "signal", "statusLabel": "Documented investment signal", "summary": "HCA HOUSTON HEALTHCARE TOMBALL 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": "450670", "npi": "1750819025", "historicalCcns": [], "aliases": [ { "alias": "NORTH HOUSTON - TRMC LLC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "HCA HOUSTON HEALTHCARE TOMBALL", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-hca-450670", "from_entity_id": "HCA Healthcare", "to_entity_id": "450670", "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": "450670-net_patient_revenue-06-30-2024", "entity_id": "450670", "metric_name": "net_patient_revenue", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "246590756", "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": "450670-net_patient_revenue-06-30-2023", "entity_id": "450670", "metric_name": "net_patient_revenue", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "214851380", "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": "450670-net_patient_revenue-06-30-2022", "entity_id": "450670", "metric_name": "net_patient_revenue", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "215090563", "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": "450670-operating_expense-06-30-2024", "entity_id": "450670", "metric_name": "operating_expense", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "240383485", "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": "450670-operating_expense-06-30-2023", "entity_id": "450670", "metric_name": "operating_expense", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "209785673", "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": "450670-operating_expense-06-30-2022", "entity_id": "450670", "metric_name": "operating_expense", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "212347438", "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": "450670-net_income-06-30-2024", "entity_id": "450670", "metric_name": "net_income", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "7196047", "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": "450670-net_income-06-30-2023", "entity_id": "450670", "metric_name": "net_income", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "8285530", "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": "450670-net_income-06-30-2022", "entity_id": "450670", "metric_name": "net_income", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "3779499", "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": "450670-total_assets-06-30-2024", "entity_id": "450670", "metric_name": "total_assets", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "151979520", "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": "450670-total_assets-06-30-2023", "entity_id": "450670", "metric_name": "total_assets", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "137344673", "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": "450670-total_assets-06-30-2022", "entity_id": "450670", "metric_name": "total_assets", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "142799366", "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": "450670-total_liabilities-06-30-2024", "entity_id": "450670", "metric_name": "total_liabilities", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "174905094", "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": "450670-total_liabilities-06-30-2023", "entity_id": "450670", "metric_name": "total_liabilities", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "166240489", "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": "450670-total_liabilities-06-30-2022", "entity_id": "450670", "metric_name": "total_liabilities", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "178053805", "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": "450670-contract_labor_direct_patient_care-06-30-2022", "entity_id": "450670", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "949112", "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": "450670-contract_labor_direct_patient_care-06-30-2021", "entity_id": "450670", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "1346508", "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": "450670-contract_labor_direct_patient_care-06-30-2020", "entity_id": "450670", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2019", "period_end": "06/30/2020", "value": "3371217", "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": "450670-fte_employees-06-30-2024", "entity_id": "450670", "metric_name": "fte_employees", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "700.18", "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": "450670-fte_employees-06-30-2023", "entity_id": "450670", "metric_name": "fte_employees", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "677.93", "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": "450670-fte_employees-06-30-2022", "entity_id": "450670", "metric_name": "fte_employees", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "697.15", "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": "450670-beds-06-30-2024", "entity_id": "450670", "metric_name": "beds", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "194", "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": "450670-beds-06-30-2023", "entity_id": "450670", "metric_name": "beds", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "205", "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": "450670-beds-06-30-2022", "entity_id": "450670", "metric_name": "beds", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "181", "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": "450670-patient_days-06-30-2024", "entity_id": "450670", "metric_name": "patient_days", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "37610", "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": "450670-patient_days-06-30-2023", "entity_id": "450670", "metric_name": "patient_days", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "39194", "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": "450670-patient_days-06-30-2022", "entity_id": "450670", "metric_name": "patient_days", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "43183", "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": "450670-discharges-06-30-2024", "entity_id": "450670", "metric_name": "discharges", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "8478", "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": "450670-discharges-06-30-2023", "entity_id": "450670", "metric_name": "discharges", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "8280", "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": "450670-discharges-06-30-2022", "entity_id": "450670", "metric_name": "discharges", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "7932", "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": "04/27/2017", "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": "04/27/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "FRANCIS TEZANOS", "role": "CORPORATE OFFICER", "association_date": "02/01/2026", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "FRANCIS TEZANOS", "role": "W-2 MANAGING EMPLOYEE", "association_date": "02/01/2026", "percentage_ownership": "", "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": "04/27/2017", "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": "04/27/2017", "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": "04/27/2017", "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": "04/27/2017", "percentage_ownership": "18.27", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROBERT MARMERSTEIN", "role": "CORPORATE OFFICER", "association_date": "07/13/2020", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HCA HEALTH SERVICES OF TEXAS INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/27/2017", "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": "04/27/2017", "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": "04/27/2017", "percentage_ownership": "5.37", "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": "02/06/2026", "percentage_ownership": "14.4", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "INDIANAPOLIS HOSPITAL PARTNER, LLC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/27/2017", "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": "04/27/2017", "percentage_ownership": "5.61", "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": "02/06/2026", "percentage_ownership": "16.3", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HTI HOSPITAL HOLDINGS INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "04/27/2017", "percentage_ownership": "24.76", "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": "04/27/2017", "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": "04/27/2017", "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:450670", "label": "HCA HOUSTON HEALTHCARE TOMBALL", "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:francis-tezanos:2", "label": "FRANCIS TEZANOS", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:francis-tezanos:3", "label": "FRANCIS TEZANOS", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:eric-smith:4", "label": "ERIC SMITH", "kind": "cms_owner_or_controller", "evidence": "CONTRACTED MANAGING EMPLOYEE" }, { "id": "cms-owner:hca-healthcare-inc:5", "label": "HCA HEALTHCARE INC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:houston-healthcare-holdings-inc:6", "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:7", "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:8", "label": "WOMEN'S HOSPITAL INDIANAPOLIS, L.P.", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:robert-marmerstein:9", "label": "ROBERT MARMERSTEIN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:hca-health-services-of-texas-inc:10", "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:11", "label": "HEALTHTRUST INC - THE HOSPITAL COMPANY", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:hospital-corp-llc:12", "label": "HOSPITAL CORP LLC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:hercules-holding-ii:13", "label": "HERCULES HOLDING II", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:indianapolis-hospital-partner-llc:14", "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:15", "label": "COLUMBIA HOSPITAL CORPORATION OF WEST HOUSTON", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" } ], "edges": [ { "id": "organization:hca-healthcare->facility:450670", "from": "organization:hca-healthcare", "to": "facility:450670", "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:450670", "from": "cms-owner:hca-squared-llc:0", "to": "facility:450670", "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 04/27/2017" }, { "id": "cms-owner:hca-inc:1->facility:450670", "from": "cms-owner:hca-inc:1", "to": "facility:450670", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/27/2017" }, { "id": "cms-owner:francis-tezanos:2->facility:450670", "from": "cms-owner:francis-tezanos:2", "to": "facility:450670", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 02/01/2026" }, { "id": "cms-owner:francis-tezanos:3->facility:450670", "from": "cms-owner:francis-tezanos:3", "to": "facility:450670", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 02/01/2026" }, { "id": "cms-owner:eric-smith:4->facility:450670", "from": "cms-owner:eric-smith:4", "to": "facility:450670", "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:5->facility:450670", "from": "cms-owner:hca-healthcare-inc:5", "to": "facility:450670", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/27/2017" }, { "id": "cms-owner:houston-healthcare-holdings-inc:6->facility:450670", "from": "cms-owner:houston-healthcare-holdings-inc:6", "to": "facility:450670", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/27/2017" }, { "id": "cms-owner:columbia-hca-of-houston-inc:7->facility:450670", "from": "cms-owner:columbia-hca-of-houston-inc:7", "to": "facility:450670", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/27/2017" }, { "id": "cms-owner:women-s-hospital-indianapolis-l-p:8->facility:450670", "from": "cms-owner:women-s-hospital-indianapolis-l-p:8", "to": "facility:450670", "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 04/27/2017" }, { "id": "cms-owner:robert-marmerstein:9->facility:450670", "from": "cms-owner:robert-marmerstein:9", "to": "facility:450670", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · 100% reported ownership · associated 07/13/2020" }, { "id": "cms-owner:hca-health-services-of-texas-inc:10->facility:450670", "from": "cms-owner:hca-health-services-of-texas-inc:10", "to": "facility:450670", "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 04/27/2017" }, { "id": "cms-owner:healthtrust-inc-the-hospital-company:11->facility:450670", "from": "cms-owner:healthtrust-inc-the-hospital-company:11", "to": "facility:450670", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/27/2017" }, { "id": "cms-owner:hospital-corp-llc:12->facility:450670", "from": "cms-owner:hospital-corp-llc:12", "to": "facility:450670", "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 04/27/2017" }, { "id": "cms-owner:hercules-holding-ii:13->facility:450670", "from": "cms-owner:hercules-holding-ii:13", "to": "facility:450670", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 14.4% reported ownership · associated 02/06/2026" }, { "id": "cms-owner:indianapolis-hospital-partner-llc:14->facility:450670", "from": "cms-owner:indianapolis-hospital-partner-llc:14", "to": "facility:450670", "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 04/27/2017" }, { "id": "cms-owner:columbia-hospital-corporation-of-west-houston:15->facility:450670", "from": "cms-owner:columbia-hospital-corporation-of-west-houston:15", "to": "facility:450670", "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 04/27/2017" } ], "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": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 215090563, "latestValue": 246590756, "absoluteChange": 31500193, "percentChange": 14.645083708298257, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 212347438, "latestValue": 240383485, "absoluteChange": 28036047, "percentChange": 13.202912766011332, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 3779499, "latestValue": 7196047, "absoluteChange": 3416548, "percentChange": 90.39684889452279, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 142799366, "latestValue": 151979520, "absoluteChange": 9180154, "percentChange": 6.428707813730769, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 178053805, "latestValue": 174905094, "absoluteChange": -3148711, "percentChange": -1.7684042191628537, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "06/30/2020", "latestPeriod": "06/30/2022", "earliestValue": 3371217, "latestValue": 949112, "absoluteChange": -2422105, "percentChange": -71.84660613659696, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 697.15, "latestValue": 700.18, "absoluteChange": 3.0299999999999727, "percentChange": 0.4346266943986191, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 181, "latestValue": 194, "absoluteChange": 13, "percentChange": 7.18232044198895, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 43183, "latestValue": 37610, "absoluteChange": -5573, "percentChange": -12.90554153254753, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 7932, "latestValue": 8478, "absoluteChange": 546, "percentChange": 6.883509833585477, "unit": "discharges" } ] }