{
  "schemaVersion": 3,
  "entityId": "pe-tracker-170196",
  "canonicalName": "KANSAS SPINE & SPECIALTY HOSPITAL, LLC",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "KANSAS SPINE & SPECIALTY HOSPITAL, LLC is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for KANSAS SPINE & SPECIALTY HOSPITAL LLC. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "high",
    "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": "170196",
    "npi": "1417950650",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "KANSAS SPINE & SPECIALTY HOSPITAL LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-surgerypartners-pe-tracker-170196",
      "from_entity_id": "Surgery Partners",
      "to_entity_id": "pe-tracker-170196",
      "relationship_type": "owns",
      "effective_date": "August 2017",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "high",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies Surgery Partners in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "August 2017",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
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      "better_when": "context_dependent",
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      "better_when": "context_dependent",
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    },
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      "association_date": "09/01/2022",
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      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SURGERY CENTER HOLDINGS INC",
      "role": "OTHER",
      "association_date": "09/01/2022",
      "percentage_ownership": "55",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JENNIFER SANDERS",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "08/13/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HARRISON BANE",
      "role": "OTHER",
      "association_date": "09/01/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHANDRA TOKALA",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "11/05/2001",
      "percentage_ownership": "7.46",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BCPE SEMINOLE HOLDINGS II INTERMEDIATE LP",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "03/31/2023",
      "percentage_ownership": "13.09",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SURGERY CENTER HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "09/01/2022",
      "percentage_ownership": "55",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CYNTHIA MEAUX",
      "role": "CORPORATE OFFICER",
      "association_date": "04/14/2025",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CYNTHIA MEAUX",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "04/14/2025",
      "percentage_ownership": "0",
      "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: Surgery Partners.",
    "Reported investment sponsor: Bain Capital."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [],
  "unavailableFields": [
    "Official facility URL"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "high",
    "nodes": [
      {
        "id": "facility:pe-tracker-170196",
        "label": "KANSAS SPINE & SPECIALTY HOSPITAL, LLC",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:bain-capital",
        "label": "Bain Capital",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:sp-management-services",
        "label": "SP Management Services",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:sp-holdco-i-inc:0",
        "label": "SP HOLDCO I INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:jennifer-baldock:1",
        "label": "JENNIFER BALDOCK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:2024-rwg-iii-irrevocable-trust:2",
        "label": "2024 RWG III IRREVOCABLE TRUST",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:fmr-llc:3",
        "label": "FMR LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:john-dickerson:4",
        "label": "JOHN DICKERSON",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:sp-management-services-inc:5",
        "label": "SP MANAGEMENT SERVICES INC",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:surgery-partners-inc:6",
        "label": "SURGERY PARTNERS INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:raymond-grundmeyer:7",
        "label": "RAYMOND GRUNDMEYER",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:2015-chandra-tokala-irrevocable-trust:8",
        "label": "2015 CHANDRA TOKALA IRREVOCABLE TRUST",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:2019-john-r-dickerson-irrevocable-trust:9",
        "label": "2019 JOHN R DICKERSON IRREVOCABLE TRUST",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:surgery-center-holdings-inc:10",
        "label": "SURGERY CENTER HOLDINGS INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:surgery-center-holdings-inc:11",
        "label": "SURGERY CENTER HOLDINGS INC",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:jennifer-sanders:12",
        "label": "JENNIFER SANDERS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:harrison-bane:13",
        "label": "HARRISON BANE",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:chandra-tokala:14",
        "label": "CHANDRA TOKALA",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:bain-capital->organization:sp-management-services",
        "from": "organization:bain-capital",
        "to": "organization:sp-management-services",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:sp-management-services->facility:pe-tracker-170196",
        "from": "organization:sp-management-services",
        "to": "facility:pe-tracker-170196",
        "relationship": "reported ownership or operating chain",
        "confidence": "high",
        "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:sp-holdco-i-inc:0->facility:pe-tracker-170196",
        "from": "cms-owner:sp-holdco-i-inc:0",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 55% reported ownership · associated 09/01/2022"
      },
      {
        "id": "cms-owner:jennifer-baldock:1->facility:pe-tracker-170196",
        "from": "cms-owner:jennifer-baldock:1",
        "to": "facility:pe-tracker-170196",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 09/01/2022"
      },
      {
        "id": "cms-owner:2024-rwg-iii-irrevocable-trust:2->facility:pe-tracker-170196",
        "from": "cms-owner:2024-rwg-iii-irrevocable-trust:2",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 9.48% reported ownership · associated 10/01/2024"
      },
      {
        "id": "cms-owner:fmr-llc:3->facility:pe-tracker-170196",
        "from": "cms-owner:fmr-llc:3",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 7.26% reported ownership · associated 11/21/2022"
      },
      {
        "id": "cms-owner:john-dickerson:4->facility:pe-tracker-170196",
        "from": "cms-owner:john-dickerson:4",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9.74% reported ownership · associated 01/01/2007"
      },
      {
        "id": "cms-owner:sp-management-services-inc:5->facility:pe-tracker-170196",
        "from": "cms-owner:sp-management-services-inc:5",
        "to": "facility:pe-tracker-170196",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 0% reported ownership · associated 09/01/2022"
      },
      {
        "id": "cms-owner:surgery-partners-inc:6->facility:pe-tracker-170196",
        "from": "cms-owner:surgery-partners-inc:6",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 55% reported ownership · associated 09/01/2022"
      },
      {
        "id": "cms-owner:raymond-grundmeyer:7->facility:pe-tracker-170196",
        "from": "cms-owner:raymond-grundmeyer:7",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9.48% reported ownership · associated 10/01/2024"
      },
      {
        "id": "cms-owner:2015-chandra-tokala-irrevocable-trust:8->facility:pe-tracker-170196",
        "from": "cms-owner:2015-chandra-tokala-irrevocable-trust:8",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 7.46% reported ownership · associated 12/07/2015"
      },
      {
        "id": "cms-owner:2019-john-r-dickerson-irrevocable-trust:9->facility:pe-tracker-170196",
        "from": "cms-owner:2019-john-r-dickerson-irrevocable-trust:9",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 9.74% reported ownership · associated 11/08/2019"
      },
      {
        "id": "cms-owner:surgery-center-holdings-inc:10->facility:pe-tracker-170196",
        "from": "cms-owner:surgery-center-holdings-inc:10",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 55% reported ownership · associated 09/01/2022"
      },
      {
        "id": "cms-owner:surgery-center-holdings-inc:11->facility:pe-tracker-170196",
        "from": "cms-owner:surgery-center-holdings-inc:11",
        "to": "facility:pe-tracker-170196",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · 55% reported ownership · associated 09/01/2022"
      },
      {
        "id": "cms-owner:jennifer-sanders:12->facility:pe-tracker-170196",
        "from": "cms-owner:jennifer-sanders:12",
        "to": "facility:pe-tracker-170196",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 0% reported ownership · associated 08/13/2018"
      },
      {
        "id": "cms-owner:harrison-bane:13->facility:pe-tracker-170196",
        "from": "cms-owner:harrison-bane:13",
        "to": "facility:pe-tracker-170196",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · 0% reported ownership · associated 09/01/2024"
      },
      {
        "id": "cms-owner:chandra-tokala:14->facility:pe-tracker-170196",
        "from": "cms-owner:chandra-tokala:14",
        "to": "facility:pe-tracker-170196",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 7.46% reported ownership · associated 11/05/2001"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.",
      "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 66161680,
      "latestValue": 71776710,
      "absoluteChange": 5615030,
      "percentChange": 8.486831047821035,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 48758017,
      "latestValue": 58911512,
      "absoluteChange": 10153495,
      "percentChange": 20.824257475442447,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 22895510,
      "latestValue": 12940518,
      "absoluteChange": -9954992,
      "percentChange": -43.480105924698776,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 32714927,
      "latestValue": 183389411,
      "absoluteChange": 150674484,
      "percentChange": 460.56799698804156,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 51705637,
      "latestValue": 50898332,
      "absoluteChange": -807305,
      "percentChange": -1.5613481369545839,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 122389,
      "latestValue": 208705,
      "absoluteChange": 86316,
      "percentChange": 70.52594595919568,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 169.94,
      "latestValue": 170.37,
      "absoluteChange": 0.4300000000000068,
      "percentChange": 0.2530304813463616,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 35,
      "latestValue": 35,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 3629,
      "latestValue": 3644,
      "absoluteChange": 15,
      "percentChange": 0.4133370074400662,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1611,
      "latestValue": 1539,
      "absoluteChange": -72,
      "percentChange": -4.4692737430167595,
      "unit": "discharges"
    }
  ]
}