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"business" }, { "id": "r-chh-brotman-suit", "from": "culver-hospital-holdings", "to": "brotman", "role": "Plaintiff in minority-shareholder suit against", "period": "2010–2011", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-pub-brotman-litigation" ], "kind": "legal" }, { "id": "r-chh-pmh-suit", "from": "culver-hospital-holdings", "to": "pmh", "role": "Plaintiff in minority-shareholder suit against", "period": "2010–2011", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-pub-brotman-litigation" ], "kind": "legal" }, { "id": "r-chh-phas-suit", "from": "culver-hospital-holdings", "to": "phas", "role": "Plaintiff in minority-shareholder suit against", "period": "2010–2011", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-pub-brotman-litigation" ], "kind": "legal" }, { "id": "r-brotman-gemino", "from": "brotman", "to": "gemino", "role": "Borrower under credit agreement", "period": "From April 14, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-brotman-financing" ], "kind": "business" }, { "id": "r-brotman-ljh", "from": "brotman", "to": "la-jewish-home", "role": "Borrower under reorganization-plan financing of up to $22.25 million secured by a mortgage", "period": "From 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-brotman-financing" ], "kind": "business" }, { "id": "r-grimshaw-ivy", "from": "bruce-grimshaw", "to": "ivy-holdings", "role": "Minority shareholder and officer or director", "period": "As of the 2020 application; interest ended with the 2021 transaction", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", 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"documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-coc-pension-settlement-pya", "c-ri-2014-jv" ], "kind": "owns" }, { "id": "r-cchp-pcc", "from": "chartercare-health-partners", "to": "prospect-chartercare", "role": "Joint-venture owner (15%)", "period": "From June 2014", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ri-2014-jv" ], "kind": "owns" }, { "id": "r-chic-pmh-insurer", "from": "chic", "to": "pmh", "role": "Captive insurer of the debtors (risk ceded to reinsurers)", "period": "Until the 2026 commutation settlement", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-cap-chic", "c-cap-pa-layers" ], "kind": "business" }, { "id": "r-pmh-chic", "from": "pmh", "to": "chic", "role": "Indirect parent (registered owner is Prospect ECHN, Inc.)", "period": "As of the 2026 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"role": "Spouse; co-settlor and co-trustee of the family trust", "period": "Trust dated September 29, 1997; as of 2008", "status": "documented", "direction": "undirected", "role_group": "associations", "temporal_status": "unknown", "claim_ids": [ "c-pub-topper-holdings-2008" ], "kind": "family" }, { "id": "r-topper-alta-manager", "from": "david-topper", "to": "alta-hospitals-system", "role": "Member of the board of managers", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-alta-managers" ], "kind": "directs" }, { "id": "r-topper-alta-president", "from": "david-topper", "to": "alta-hospitals-system", "role": "President", "period": "As of December 2010; listed again on the company website in 2026", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-buy-rollover", "c-lead-website" ], "kind": "employs" }, { "id": "r-topper-ivy", "from": "david-topper", "to": "ivy-holdings", "role": "Shareholder through the David & Alexa Topper Family Trust", "period": "December 15, 2010 – 2021", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-coc-ri-ag-summary", "c-coc-application-2020", "c-coc-pya-governance", "c-buy-rollover", "c-coc-ownership-before-after" ], "kind": "owns" }, { "id": "r-topper-pmh-director", "from": "david-topper", "to": "pmh", "role": "Director", "period": "As of the January 2025 petition date", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ch11-board" ], "kind": "directs" }, { "id": "r-topper-pmh-officer", "from": "david-topper", "to": "pmh", "role": "Senior vice president (2021); co-chief executive officer (from at least December 2023)", "period": "2021–2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-2021-witnesses", "c-lead-co-ceos-2023", "c-lead-website" ], "kind": "employs" }, { "id": "r-topper-pmh-public", "from": "david-topper", "to": "pmh", "role": "Shareholder (with Alexa Topper 25.5% in 2008)", "period": "2007 – December 15, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-pub-topper-holdings-2008", "c-pub-preferred-conversion", "c-buy-13d-exit" ], "kind": "owns" }, { "id": "r-topper-pmh-indirect", "from": "david-topper", "to": "pmh", "role": "Indirect co-owner (through family trust, Ivy Holdings and from 2021 Chamber)", "period": "From December 2010; co-owner of all equity with Samuel Lee from 2021", "status": "reported", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-coc-price-ri-ag", "c-pay-ri-ag-2024-view", "c-coc-insider-buyout", "c-coc-ri-ag-summary", 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"to": "chamber", "role": "Party to merger agreement under which Chamber would become sole stockholder", "period": "Agreement of October 2, 2019", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-coc-merger-agreement", "c-coc-dividend-restriction" ], "kind": "legal" }, { "id": "r-ivy-ivyint", "from": "ivy-holdings", "to": "ivy-intermediate", "role": "Sole shareholder (parent company)", "period": "From 2010; as described in 2025 Chapter 11 filings", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-buy-holding-chain", "c-buy-ivy-formation", "c-coc-chain-2025", "c-coc-chamber" ], "kind": "owns" }, { "id": "r-ivy-pmh", "from": "ivy-holdings", "to": "pmh", "role": "Indirect parent (100%, through Ivy Intermediate Holding)", "period": "From December 15, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", 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"directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-pub-terner-roles", "c-phy-nominee-structure" ], "kind": "owns" }, { "id": "r-terner-pmh", "from": "jacob-terner", "to": "pmh", "role": "Chairman, chief executive officer and director", "period": "July 31, 1996 – fiscal 2008", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-pub-terner-roles", "c-pub-officers-2006" ], "kind": "directs" }, { "id": "r-pmh-terner-separation", "from": "pmh", "to": "jacob-terner", "role": "Agreed separation payments to the Terner family trust ($1,257,000; stopped in September 2009)", "period": "May 2008 – April 2011 schedule", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pub-terner-separation" ], "kind": "pays" }, { "id": "r-terner-pmh-suit", "from": "jacob-terner", "to": "pmh", "role": "Plaintiff in suit to restore 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"pmh", "role": "Director (management designee after the 2010 merger)", "period": "From June 1, 2007; on the board at the 2020 application", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-buy-board-2010", "c-coc-application-2020", "c-pub-promed", "c-lead-prasad-profiles" ], "kind": "directs" }, { "id": "r-prasad-pmh-shares", "from": "jeereddi-prasad", "to": "pmh", "role": "Shareholder (1.8%)", "period": "As of November 8, 2010; shares rolled over on December 15, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-proxy-owners", "c-buy-13d-exit" ], "kind": "owns" }, { "id": "r-prasad-promedhsc", "from": "jeereddi-prasad", "to": "promed-hsc", "role": "President", "period": "From 1994; as of 2010", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-pub-promed", 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"prospect-chartercare", "role": "Chief executive officer", "period": "By the 2020 application; in 2024", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ri-liebman", "c-ri-vendor-control" ], "kind": "employs" }, { "id": "r-rosenthal-force10", "from": "jeremy-rosenthal", "to": "force10", "role": "Partner", "period": "As of January 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ch11-transaction-committee" ], "kind": "employs" }, { "id": "r-rosenthal-pmh", "from": "jeremy-rosenthal", "to": "pmh", "role": "Independent director (chair of the Transaction Committee from January 20, 2025)", "period": "From October 21, 2024 (Transaction Committee chair from January 20, 2025)", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ch11-board", "c-ch11-transaction-committee", 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"c-buy-lgp-directors", "c-coc-application-2020" ], "kind": "directs" }, { "id": "r-danhakl-lgp", "from": "john-danhakl", "to": "lgp", "role": "Managing partner", "period": "With the firm since 1995; listed in 2026", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "current", "claim_ids": [ "c-lead-lgp-partners" ], "kind": "employs" }, { "id": "r-sokoloff-lgp", "from": "jonathan-sokoloff", "to": "lgp", "role": "Managing partner", "period": "With the firm since 1990; listed in 2026", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "current", "claim_ids": [ "c-lead-lgp-partners" ], "kind": "employs" }, { "id": "r-landes-pmh", "from": "joshua-landes", "to": "pmh", "role": "Shareholder (6.3%)", "period": "As of November 8, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-proxy-owners" ], "kind": "owns" }, { "id": "r-obus-pmh", "from": "nelson-obus", "to": "pmh", "role": "Shareholder (6.6%)", "period": "As of November 8, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-proxy-owners" ], "kind": "owns" }, { "id": "r-lumia-pmh", "from": "kim-lumia", "to": "pmh", "role": "Chief regional performance officer, East Coast hospital division (2019); chief operating officer (2025)", "period": "2019–2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-2025-management", "c-ct-lumia-testimony", "c-lead-lumia-2019" ], "kind": "employs" }, { "id": "r-lgp-geiv", "from": "lgp", "to": "gei-v", "role": "Affiliated private equity firm (fund sponsor)", "period": "As of the 2010 merger proxy", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-buy-ivy-formation" ], "kind": "owns" }, { "id": "r-lgp-ivy", "from": "lgp", "to": "ivy-holdings", "role": "Sponsor of the controlling shareholders (about 60% through its funds)", "period": "2010–2021", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-coc-ri-ag-summary", "c-buy-ivy-formation", "c-coc-pya-governance", "c-buy-ivy-officers" ], "kind": "owns" }, { "id": "r-lgp-pmh-control", "from": "lgp", "to": "pmh", "role": "Controlling owner through its funds (about 60–62%; designated three of five directors)", "period": "2010–2021", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-board-2010", "c-buy-control-62", "c-buy-price-accounts", "c-pay-senate-2025", "c-pay-ri-ag-2024-view", "c-coc-insider-buyout", "c-coc-price-ri-ag" ], "kind": "owns" }, { "id": "r-lgp-pmh-proposal", "from": "lgp", "to": "pmh", "role": "Submitted nonbinding proposal to acquire all shares at $7.50 (for Green Equity Investors V)", "period": "April 13, 2010", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-buy-approach" ], "kind": "business" }, { "id": "r-pmh-lgp-dividends", "from": "pmh", "to": "lgp", "role": "Paid dividends to (reported recipient, with its funds and co-investors)", "period": "2012–2020, including the 2018 dividend recapitalisation (fees and dividends 2010–2021 per the Senate letter)", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pay-totals-ri-ag", "c-pay-2013-dividend", "c-pay-2018-recap", "c-pay-totals-investigative-report", "c-pay-2012-dividend", "c-pay-senate-2025", "c-pay-ri-ag-2024-view", "c-pay-2019-dividend-infusion", "c-pay-totals-senate" ], "kind": "pays" }, { "id": "r-lgp-pmh-2019", "from": "lgp", "to": "pmh", "role": "Provided part of the January 2019 cash infusion (about $25 million, returned within a year)", "period": "January 2019", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pay-2019-dividend-infusion", "c-pay-2019-infusion-character", "c-pay-2019-loan-account" ], "kind": "pays" }, { "id": "r-lgp-pmh-escrow", "from": "lgp", "to": "pmh", "role": "Party with PMH to the 2021 Rhode Island escrow funds (rights to be assigned to the 2024 Hospital Fund)", "period": "2021–2024", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ri-hospital-fund", "c-coc-approval-2021", "c-coc-escrows", "c-coc-escrow-agreement", "c-coc-senate-escrow" ], "kind": "legal" }, { "id": "r-johnson-pmh", "from": "mark-johnson", "to": "pmh", "role": "Chief financial officer", "period": "As of 2021; described as former by profiles", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-lead-2021-witnesses", "c-lead-profiles" ], "kind": "employs" }, { "id": "r-pearson-chic-jpl", "from": "michael-pearson", "to": "chic", "role": "Joint provisional liquidator and foreign representative", "period": "From March 18, 2026", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-cap-chapter15", "c-cap-cayman-petition" ], "kind": "legal" }, { "id": "r-pearson-chic-jol", "from": "michael-pearson", "to": "chic", "role": "Joint official liquidator", "period": "From May 28, 2026", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-cap-winding-up" ], "kind": "legal" }, { "id": "r-oregan-chic-jpl", "from": "orla-oregan", "to": "chic", "role": "Joint provisional liquidator and foreign representative", "period": "From March 18, 2026", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-cap-chapter15", "c-cap-cayman-petition" ], "kind": "legal" }, { "id": "r-oregan-chic-jol", "from": "orla-oregan", "to": "chic", "role": "Joint official liquidator", "period": "From May 28, 2026", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-cap-winding-up" ], "kind": "legal" }, { "id": "r-sarian-ahsf", "from": "michael-sarian", "to": "ahsf", "role": "Chairman and chief executive officer", "period": "As of July 2023", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ca-beverly" ], "kind": "employs" }, { "id": "r-sarian-alta", "from": "michael-sarian", "to": "alta-hospitals-system", "role": "Former chief executive officer and vice president of finance (company self-description)", "period": "Undated in the self-description", "status": "reported", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-ca-sarian-profile" ], "kind": "employs" }, { "id": "r-sarian-hsa", "from": "michael-sarian", "to": "hsa", "role": "Chairman and chief executive officer (removal in 2026 disputed)", "period": "Until 2026", "status": "reported", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ca-sarian-profile", "c-ca-sarian-dispute" ], "kind": "employs" }, { "id": "r-hsa-sarian-suit", "from": "hsa", "to": "michael-sarian", "role": "Plaintiff (with five affiliated hospitals) in suit alleging diversion of funds", "period": "Filed June 11, 2026", "status": "reported", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ca-sarian-dispute" ], "kind": "legal" }, { "id": "r-sarian-nor", "from": "michael-sarian", "to": "nor", "role": "Director named at registration; later removed from leadership role (disputed)", "period": "2025–2026", "status": "reported", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ca-nor-press", "c-ca-sarian-dispute" ], "kind": "employs" }, { "id": "r-sarian-pmh", "from": "michael-sarian", "to": "pmh", "role": "Senior vice president of hospital operations", "period": "2005–2012", "status": "reported", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-ca-nor-press" ], "kind": "employs" }, { "id": "r-sarian-pmh-bid", "from": "michael-sarian", "to": "pmh", "role": "Proposed acquirer of PMH's California hospitals (alleged funding source disputed)", "period": "2025–2026", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ca-sarian-dispute" ], "kind": "business" }, { "id": "r-sarian-prime", "from": "michael-sarian", "to": "prime", "role": "President of hospital operations", "period": "2012–2020", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-ca-prime-erisa", "c-ca-sarian-profile" ], "kind": "employs" }, { "id": "r-solomon-lgp", "from": "michael-solomon", "to": "lgp", "role": "Principal from 2000; later partner (former)", "period": "From 2000", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-buy-lgp-directors", "c-lead-solomon" ], "kind": "employs" }, { "id": "r-solomon-pmh", "from": "michael-solomon", "to": "pmh", "role": "Director (Leonard Green designee; former)", "period": "From December 15, 2010; on the board at the 2020 application", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-buy-board-2010", "c-buy-lgp-directors", "c-coc-application-2020", "c-lead-solomon" ], "kind": "directs" }, { "id": "r-mterner-pmh", "from": "michael-terner", "to": "pmh", "role": "Vice President of HMO Contracting and Health Plan Relations", "period": "As of 2007; until the severance agreement of June 4, 2008", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-pub-michael-terner", "c-pub-officers-2006" ], "kind": "employs" }, { "id": "r-heather-ivy", "from": "mike-heather", "to": "ivy-holdings", "role": "Minority shareholder (1.6% after the merger)", "period": "December 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-ivy-ownership", "c-buy-rollover" ], "kind": "owns" }, { "id": "r-heather-pmh", "from": "mike-heather", "to": "pmh", "role": "Chief financial officer", "period": "From April 2004; through the 2010 merger", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-pub-heather-vigil", "c-pub-officers-2006", "c-lead-heather-prime", "c-buy-rollover" ], "kind": "employs" }, { "id": "r-heather-pmh-shares", "from": "mike-heather", "to": "pmh", "role": "Shareholder (3.4%)", "period": "As of November 8, 2010; shares rolled over on December 15, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-proxy-owners", "c-buy-13d-exit" ], "kind": "owns" }, { "id": "r-heather-prime", "from": "mike-heather", "to": "prime", "role": "Chief financial officer (member of the 401(k) plan committee)", "period": "August 2013 – 2020", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-lead-heather-prime", "c-ca-prime-erisa" ], "kind": "employs" }, { "id": "r-lew-ivy", "from": "mitchell-lew", "to": "ivy-holdings", "role": "Minority shareholder and officer or director", "period": "As of the 2020 application; interest ended with the 2021 transaction", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-coc-application-2020" ], "kind": "owns" }, { "id": "r-lew-phfm", "from": "mitchell-lew", "to": "phfm", "role": "Member of the board of managers", "period": "As of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-phfm-board" ], "kind": "directs" }, { "id": "r-lew-pmg", "from": "mitchell-lew", "to": "pmg", "role": "Director (signed the July 2025 resolutions as the board)", "period": "As of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-profiles", "c-phy-medical-group-board" ], "kind": "directs" }, { "id": "r-lew-nuestra", "from": "mitchell-lew", "to": "nuestra-familia", "role": "Director (signed the July 2025 resolutions as the board)", "period": "As of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-medical-group-board" ], "kind": "directs" }, { "id": "r-lew-nwoc", "from": "mitchell-lew", "to": "prospect-nwoc", "role": "Director (signed the July 2025 resolutions as the board)", "period": "As of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-medical-group-board" ], "kind": "directs" }, { "id": "r-lew-upland", "from": "mitchell-lew", "to": "upland", "role": "Director (signed the July 2025 resolutions as the board)", "period": "As of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-medical-group-board" ], "kind": "directs" }, { "id": "r-lew-pmh-director", "from": "mitchell-lew", "to": "pmh", "role": "Director", "period": "As of the January 2025 petition date", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ch11-board" ], "kind": "directs" }, { "id": "r-lew-pmh-president", "from": "mitchell-lew", "to": "pmh", "role": "President", "period": "Undated; listed on the 2026 website and described as former by a profile", "status": "reported", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-website", "c-lead-profiles" ], "kind": "employs" }, { "id": "r-lew-pmsinc", "from": "mitchell-lew", "to": "pms-inc", "role": "Chief executive officer (former)", "period": "Undated in the profile", "status": "reported", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-lead-profiles" ], "kind": "employs" }, { "id": "r-mpt-php", "from": "mpt", "to": "php-holdings", "role": "Holder of senior preferred units representing 49%", "period": "From May 23, 2023", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2023-recap" ], "kind": "owns" }, { "id": "r-mptds-trs", "from": "mpt-development-services", "to": "mpt-trs-lender", "role": "Sole member", "period": "As of the July 2019 agreement", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2019-buyers" ], "kind": "owns" }, { "id": "r-mptop-mptwaterbury", "from": "mpt-op", "to": "mpt-waterbury", "role": "Sole member", "period": "As of the July 2019 agreement", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2019-buyers" ], "kind": "owns" }, { "id": "r-picasso-php", "from": "mpt-picasso", "to": "php-holdings", "role": "Equity holder (49%)", "period": "As of the July 2025 petition", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-phy-2023-structure" ], "kind": "owns" }, { "id": "r-mptwaterbury-waterbury", "from": "mpt-waterbury", "to": "prospect-waterbury", "role": "Landlord (owner of the hospital real estate)", "period": "Until the November 2025 sale", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-waterbury-sale" ], "kind": "business" }, { "id": "r-saguil-pmg", "from": "osmundo-saguil", "to": "pmg", "role": "Nominee shareholder", "period": "August 8 – November 26, 2008", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-phy-nominee-structure", "c-phy-lipper-purchase" ], "kind": "owns" }, { "id": "r-rundell-am", "from": "paul-rundell", "to": "alvarez-marsal", "role": "Managing director", "period": "As of January 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ch11-cro" ], "kind": "employs" }, { "id": "r-rundell-pmh", "from": "paul-rundell", "to": "pmh", "role": "Chief restructuring officer (signatory for PMH and authorised person for the borrowers)", "period": "From January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ch11-cro", "c-ch11-transaction-committee", "c-ca-nor-apa", "c-mpt-exit-loan-parties", "c-ct-cash-transfers" ], "kind": "employs" }, { "id": "r-am-pmh", "from": "alvarez-marsal", "to": "pmh", "role": "Adviser (revenue-cycle engagement noted in 2024; financial adviser providing the chief restructuring officer from January 11, 2025)", "period": "From 2024", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ch11-cro" ], "kind": "business" }, { "id": "r-phas-brotman-consulting", "from": "phas", "to": "brotman", "role": "Consultant under management services agreement; holder of convertible notes", "period": "From August 1, 2005; notes bought January 7, 2010", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-brotman-consulting", "c-pub-brotman-litigation" ], "kind": "business" }, { "id": "r-phas-brotman", "from": "phas", "to": "brotman", "role": "Majority shareholder (72% after April 2009; about 78.2% from February 2011)", "period": "From April 2009", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-pub-brotman-holders" ], "kind": "owns" }, { "id": "r-phfm-php", "from": "phfm", "to": "php-holdings", "role": "Manager", "period": "As of July 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-astrana-side-letter", "c-phy-phfm-board" ], "kind": "directs" }, { "id": "r-bluetorch-php", "from": "blue-torch", "to": "php-holdings", "role": "Provided new capital (with Centerbridge, $375 million) in the 2023 recapitalisation", "period": "May 23, 2023", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2023-recap" ], "kind": "business" }, { "id": "r-centerbridge-php", "from": "centerbridge", "to": "php-holdings", "role": "Provided new capital (with Blue Torch, $375 million) in the 2023 recapitalisation", "period": "May 23, 2023", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2023-recap" ], "kind": "business" }, { "id": "r-php-picasso-note", "from": "php-holdings", "to": "mpt-picasso", "role": "Issuer of convertible promissory note (about $732 million) held by", "period": "From May 2023", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2023-instruments" ], "kind": "business" }, { "id": "r-pmg-phsmg", "from": "pmg", "to": "phsmg", "role": "Sole shareholder", "period": "As of March 2011; as of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-phy-medical-group-board", "c-phy-consolidation" ], "kind": "owns" }, { "id": "r-pmg-nwoc", "from": "pmg", "to": "prospect-nwoc", "role": "Sole shareholder", "period": "As of March 2011", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-phy-consolidation" ], "kind": "owns" }, { "id": "r-pmg-upland", "from": "pmg", "to": "upland", "role": "Sole shareholder (from the June 1, 2007 ProMed acquisition)", "period": "From June 1, 2007; as of March 2011", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-phy-consolidation", "c-pub-promed" ], "kind": "owns" }, { "id": "r-pmh-altahollywood", "from": "pmh", "to": "alta-hollywood", "role": "Parent company (listed subsidiary)", "period": "As of the 2009 annual report", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-pub-subsidiaries-2009" ], "kind": "owns" }, { "id": "r-pmh-alta", "from": "pmh", "to": "alta-hospitals-system", "role": "Parent company (100%)", "period": "From August 8, 2007; 100% at the January 2025 petition", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-pub-alta-acquisition", "c-pub-alta-sellers", "c-pub-hospitals-2010", "c-pub-real-estate-2010", "c-pub-subsidiaries-2009", "c-ca-nor-apa", "c-ca-alta-owner", "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-pmh-altala", "from": "pmh", "to": "alta-los-angeles", "role": "Parent company (indirect)", "period": "As of 2009; through the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-pub-subsidiaries-2009", "c-ca-nor-apa", "c-mpt-2019-signatories", "c-ch11-debtors", "c-mpt-master-leases" ], "kind": "owns" }, { "id": "r-pmh-altanewport-inc", "from": "pmh", "to": "alta-newport-inc", "role": "Parent company (participating subsidiary in the 2019 real estate sale)", "period": "As of July 10, 2019", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2019-signatories" ], "kind": "owns" }, { "id": "r-pmh-astrana", "from": "pmh", "to": "astrana", "role": "Seller representative in the sale of the PhysicianCo business (about $745 million)", "period": "Agreement of November 8, 2024; closed July 1, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-phy-astrana-agreement", "c-phy-astrana-closing", "c-phy-astrana-side-letter", "c-ch11-saidara-declaration" ], "kind": "business" }, { "id": "r-astrana-altanewport-llc", "from": "astrana", "to": "alta-newport-llc", "role": "Acquired all equity (Foothill Regional Medical Center)", "period": "July 1, 2025", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-phy-astrana-closing" ], "kind": "owns" }, { "id": "r-pmh-boa", "from": "pmh", "to": "bank-of-america", "role": "Borrower under $155 million acquisition financing (bank as agent); forbearance agreements in 2008", "period": "From August 8, 2007; forbearance in 2008", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pub-alta-acquisition", "c-pub-forbearance-2008" ], "kind": "business" }, { "id": "r-altala-boa", "from": "alta-los-angeles", "to": "bank-of-america", "role": "Granted deeds of trust over hospitals to secure the acquisition financing", "period": "From August 2007", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pub-alta-pledges" ], "kind": "legal" }, { "id": "r-altahollywood-boa", "from": "alta-hollywood", "to": "bank-of-america", "role": "Granted deeds of trust over hospitals to secure the acquisition financing", "period": "From August 2007", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pub-alta-pledges" ], "kind": "legal" }, { "id": "r-terner-boa", "from": "jacob-terner", "to": "bank-of-america", "role": "Pledged shares to secure the acquisition financing", "period": "From August 2007", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pub-alta-pledges" ], "kind": "legal" }, { "id": "r-centurion-boa", "from": "centurion", "to": "bank-of-america", "role": "Financed the acquisition with $101 million of private bonds raised through", "period": "March 2026", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ri-closing-2026" ], "kind": "business" }, { "id": "r-pmh-brotman", "from": "pmh", "to": "brotman", "role": "Majority owner (about 33% from 2005; about 72% from April 2009 and 78% from November 2010, through Prospect Hospital Advisory Services)", "period": "From August 31, 2005; 78.2% as of March 31, 2011", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-pub-brotman-stake", "c-pub-hospitals-2010", "c-pub-real-estate-2010", "c-pub-subsidiaries-2009", "c-ca-brotman-renamed", "c-pub-brotman-hospital", "c-pub-brotman-holders" ], "kind": "owns" }, { "id": "r-centerbridge-pmh", "from": "centerbridge", "to": "pmh", "role": "Proposed $20 million of interim financing (MPT refused consent)", "period": "November–December 2024", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-mpt-consent-refusal" ], "kind": "business" }, { "id": "r-cha-pmh", "from": "cha", "to": "pmh", "role": "Plaintiff in breach-of-contract suit (about $1.7 million unpaid)", "period": "As described in the Connecticut draft complaint", "status": "reported", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ct-vendor-suits" ], "kind": "legal" }, { "id": "r-pmh-chaparral", "from": "pmh", "to": "chaparral", "role": "Its affiliated medical groups paid the Prasad Entities, including Chaparral (about $12–14 million a year)", "period": "Fiscal 2008–2010", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-phy-prasad-entities" ], "kind": "pays" }, { "id": "r-pmh-cccb-jv", "from": "pmh", "to": "chartercare-community-board", "role": "Joint-venture partner in Prospect CharterCARE (85/15, equal board appointments)", "period": "June 2014 – December 2020", "status": "documented", "direction": "undirected", "role_group": "associations", "temporal_status": "historical", "claim_ids": [ "c-ri-2014-jv" ], "kind": "business" }, { "id": "r-pmh-cccb-settlement", "from": "pmh", "to": "chartercare-community-board", "role": "Co-parties to the 2021 pension class settlement (CharterCARE Community Board through its liquidating receiver)", "period": "2021", "status": "documented", "direction": "undirected", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-ri-pension-parties" ], "kind": "legal" }, { "id": "r-pmh-cchp", "from": "pmh", "to": "chartercare-health-partners", "role": "Bought assets of the nonprofit system (2014 joint venture)", "period": "Application of October 18, 2013; decision of May 16, 2014", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ri-2014-application" ], "kind": "business" }, { "id": "r-chri-pmh", "from": "chri", "to": "pmh", "role": "Acquired Roger Williams Medical Center and Our Lady of Fatima Hospital from (new nonprofit owner)", "period": "March 6, 2026", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ri-closing-2026" ], "kind": "business" }, { "id": "r-pmh-ckhs-purchase", "from": "pmh", "to": "ckhs", "role": "Acquired Delaware County Memorial Hospital and the Crozer-Keystone system assets from", "period": "January 8, 2016; operations from July 2016", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pa-acquisition", "c-pa-closure-covenant" ], "kind": "business" }, { "id": "r-ckhs-pmh-suit", "from": "ckhs", "to": "pmh", "role": "Plaintiff (with The Foundation for Delaware County) in suit to stop the conversion of Delaware County Memorial Hospital", "period": "2022–2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-pa-ckhs-litigation" ], "kind": "legal" }, { "id": "r-pmh-crcg", "from": "pmh", "to": "crcg", "role": "Parent company (subsidiary seller in the California sale)", "period": "As of the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ca-nor-apa", "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-pmh-topper-transfers", "from": "pmh", "to": "david-topper", "role": "Transferred funds to (2018–2021 transfers; committee found viable claims)", "period": "2018–2021", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ch11-insider-transfers" ], "kind": "pays" }, { "id": "r-topper-pmh-codefendant", "from": "david-topper", "to": "pmh", "role": "Co-defendant or co-party with PMH (2021 pension settlement; 2024 Pennsylvania Attorney General suit; proposed 2025 settlement)", "period": "2021–2025", "status": "documented", "direction": "undirected", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ri-pension-parties", "c-pa-ag-suit-2024", "c-pa-9019-motion" ], "kind": "legal" }, { "id": "r-pmh-topper-nonreleased", "from": "pmh", "to": "david-topper", "role": "Listed as a non-released party under the Chapter 11 plan (estate claims preserved)", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released", "c-ch11-insider-transfers", "c-ch11-litigation-funding" ], "kind": "legal" }, { "id": "r-pmh-vigil-nonreleased", "from": "pmh", "to": "donna-vigil", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-pillari-nonreleased", "from": "pmh", "to": "george-pillari", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-prasad-nonreleased", "from": "pmh", "to": "jeereddi-prasad", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-baumer-nonreleased", "from": "pmh", "to": "john-baumer", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-johnson-nonreleased", "from": "pmh", "to": "mark-johnson", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-sarian-nonreleased", "from": "pmh", "to": "michael-sarian", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-solomon-nonreleased", "from": "pmh", "to": "michael-solomon", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-heather-nonreleased", "from": "pmh", "to": "mike-heather", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-wagner-nonreleased", "from": "pmh", "to": "alyse-wagner", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-geiv-nonreleased", "from": "pmh", "to": "gei-v", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-geiside-nonreleased", "from": "pmh", "to": "gei-side-v", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-coinvest-nonreleased", "from": "pmh", "to": "ivy-lgp-coinvest", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-lgp-nonreleased", "from": "pmh", "to": "lgp", "role": "Listed as a non-released party under the Chapter 11 plan (estate claims preserved and funded)", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released", "c-ch11-litigation-funding" ], "kind": "legal" }, { "id": "r-ecapital-pmh", "from": "ecapital", "to": "pmh", "role": "Lender under the California hospitals' revolving credit line (repaid or assumed in the 2025 sale)", "period": "From June 2024 until the August 2025 sale", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ca-nor-stalking-horse", "c-ca-sale-order" ], "kind": "business" }, { "id": "r-schs-ecapital", "from": "schs", "to": "ecapital", "role": "Borrower under $90 million revolving credit facility", "period": "From June 5, 2024", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ca-ecapital" ], "kind": "business" }, { "id": "r-altala-ecapital", "from": "alta-los-angeles", "to": "ecapital", "role": "Borrower under $90 million revolving credit facility", "period": "From June 5, 2024", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ca-ecapital" ], "kind": "business" }, { "id": "r-alta-ecapital", "from": "alta-hospitals-system", "to": "ecapital", "role": "Borrower under $90 million revolving credit facility", "period": "From June 5, 2024", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ca-ecapital" ], "kind": "business" }, { "id": "r-oldconj-eoh", "from": "prospect-oldco-nj", "to": "eoh-acquisition", "role": "Sold East Orange General Hospital to", "period": "October 2021", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ch11-ri-eoh" ], "kind": "business" }, { "id": "r-pmh-eohre-suit", "from": "pmh", "to": "eoh-real-estate", "role": "Plaintiff (New Jersey Superior Court, ESX-L-02160-23)", "period": "Pending at the March 2026 exit financing", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-retained-suits" ], "kind": "legal" }, { "id": "r-h2c-pmh", "from": "h2c", "to": "pmh", "role": "Investment bank engaged to find a buyer for the Rhode Island hospitals", "period": "From April 2021", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ri-centurion-agreement" ], "kind": "business" }, { "id": "r-hsa-nor", "from": "hsa", "to": "nor", "role": "Parent company (NOR is a wholly owned subsidiary)", "period": "As of August 3, 2025", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ca-nor-stalking-horse" ], "kind": "owns" }, { "id": "r-pmh-hsa-nda", "from": "pmh", "to": "hsa", "role": "Parties to a confidentiality agreement", "period": "February 18, 2025", "status": "documented", "direction": "undirected", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ca-nor-buyer-contacts" ], "kind": "business" }, { "id": "r-pmh-ivy-tax", "from": "pmh", "to": "ivy-holdings", "role": "Party to tax sharing agreement (PMH may pay its parents consolidated-group taxes)", "period": "From December 15, 2010", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-buy-tax-sharing" ], "kind": "business" }, { "id": "r-pmh-ivyint-tax", "from": "pmh", "to": "ivy-intermediate", "role": "Party to tax sharing agreement (PMH may pay its parents consolidated-group taxes)", "period": "From December 15, 2010", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-buy-tax-sharing" ], "kind": "business" }, { "id": "r-pmh-ivy-codefendant", "from": "pmh", "to": "ivy-holdings", "role": "Co-defendants in the 2010 Delaware shareholder class actions over the buyout", "period": "2010–2011", "status": "documented", "direction": "undirected", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-buy-shareholder-suits" ], "kind": "legal" }, { "id": "r-pmh-jefferies", "from": "pmh", "to": "jefferies", "role": "Borrower under undrawn three-year $15 million revolving credit facility (RBC as agent)", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pub-notes-2009" ], "kind": "business" }, { "id": "r-pmh-rbc", "from": "pmh", "to": "rbc", "role": "Borrower under undrawn three-year $15 million revolving credit facility (RBC as administrative agent)", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pub-notes-2009", "c-pub-guarantors-2009", "c-buy-indenture-consents" ], "kind": "business" }, { "id": "r-pmh-usbank", "from": "pmh", "to": "us-bank", "role": "Issuer of $160 million 12.75% senior secured notes (U.S. Bank as indenture trustee)", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pub-notes-2009", "c-buy-indenture-consents" ], "kind": "business" }, { "id": "r-jmb-pmh", "from": "jmb", "to": "pmh", "role": "Debtor-in-possession lender ($100 million new-money commitment)", "period": "From January 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ch11-dip" ], "kind": "business" }, { "id": "r-jpm-pmh", "from": "jpmorgan", "to": "pmh", "role": "Issuer of letters of credit ($22.25 million and $5 million) funding the pension settlement", "period": "2021", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ri-pension-litigation" ], "kind": "business" }, { "id": "r-pmh-lgp-fees", "from": "pmh", "to": "lgp", "role": "Paid management and advisory fees (through Prospect Green Management)", "period": "December 2010 – 2019", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-buy-pgm-formed", "c-pay-msa-status-2021", "c-pay-mgmt-fees", "c-buy-msa-terms" ], "kind": "pays" }, { "id": "r-pmh-lgp-codefendant", "from": "pmh", "to": "lgp", "role": "Co-defendants (2010 Delaware shareholder suits; Rhode Island pension litigation; 2024 pro se suit; 2024 Pennsylvania Attorney General suit)", "period": "2010–2025", "status": "documented", "direction": "undirected", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-buy-shareholder-suits", "c-ri-pension-litigation", "c-pa-pro-se-suit", "c-pa-ag-suit-2024" ], "kind": "legal" }, { "id": "r-lgp-pmh-exit", "from": "lgp", "to": "pmh", "role": "Sold its roughly 60% stake (about $12 million, accounted for as a share buyback by PMH)", "period": "Agreed October 2019; approved 2021", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-coc-price-ri-ag", "c-coc-insider-buyout", "c-coc-investigative-report-terms" ], "kind": "business" }, { "id": "r-pmh-mpt-lease", "from": "pmh", "to": "mpt", "role": "Tenant (through subsidiaries) of hospital real estate sold to MPT in the 2019 sale-leaseback", "period": "From August 23, 2019", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-mpt-master-leases", "c-mpt-senate-valuation", "c-mpt-2019-closing", "c-mpt-2023-q3", "c-mpt-2024-default", "c-ca-sale-terms", "c-mpt-2023-reconstitution", "c-ct-taxes-liens" ], "kind": "business" }, { "id": "r-pmh-mpt-loans", "from": "pmh", "to": "mpt", "role": "Borrower from MPT (TRS note, mortgage and term loans, debtor-in-possession financing)", "period": "2019–2026", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-mpt-funded-debt-2025", "c-mpt-2023-recap", "c-mpt-trs-note", "c-mpt-2019-closing", "c-mpt-cross-default", "c-mpt-2023-q3", "c-mpt-2022-impairment", "c-mpt-2024-default", "c-mpt-bankruptcy-settlements", "c-coc-trs-condition", "c-fin-2020-balance", "c-mpt-consent-refusal", "c-mpt-2019-agreement" ], "kind": "business" }, { "id": "r-pmh-mpttrs", "from": "pmh", "to": "mpt-trs-lender", "role": "Borrower (2019 TRS loan; 2023 term loans with the lender as agent; 2026 exit financing)", "period": "2019–2026", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2023-instruments", "c-mpt-2019-agreement", "c-mpt-exit-loan", "c-ri-hospital-fund" ], "kind": "business" }, { "id": "r-pmh-nor", "from": "pmh", "to": "nor", "role": "Seller (as seller representative) of the California hospitals; interim lease-back and management until licence transfer", "period": "Agreement of August 3, 2025; sale approved August 29, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ca-nor-press", "c-ca-nor-stalking-horse", "c-ca-sale-order", "c-ca-nor-apa", "c-ca-sale-terms", "c-ca-nor-buyer-contacts" ], "kind": "business" }, { "id": "r-pmh-rwmc", "from": "pmh", "to": "pcc-rwmc", "role": "Indirect parent (through Prospect East Holdings and Prospect CharterCARE)", "period": "From 2014 until the March 2026 sale", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-ri-structure", "c-ri-hospital-transfers", "c-ch11-debtors", "c-ri-ridoh-order-2023" ], "kind": "owns" }, { "id": "r-pmh-sjhsri", "from": "pmh", "to": "pcc-sjhsri", "role": "Indirect parent (through Prospect East Holdings and Prospect CharterCARE)", "period": "From 2014 until the March 2026 sale", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-ri-structure", "c-ri-hospital-transfers", "c-ch11-debtors", "c-ri-ridoh-order-2023" ], "kind": "owns" }, { "id": "r-pmh-rwmc-transfers", "from": "pmh", "to": "pcc-rwmc", "role": "Received transfers out of the hospital company (amounts due from affiliates; consultant's reading)", "period": "Fiscal 2020", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ri-hospital-transfers" ], "kind": "business" }, { "id": "r-pmh-sjhsri-transfers", "from": "pmh", "to": "pcc-sjhsri", "role": "Received transfers out of the hospital company (amounts due from affiliates; consultant's reading)", "period": "Fiscal 2020", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ri-hospital-transfers" ], "kind": "business" }, { "id": "r-pmh-pehas", "from": "pmh", "to": "pehas", "role": "Parent company (100%)", "period": "From the 2014 joint venture; as of 2021", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ri-structure", "c-ri-2014-application", "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-pmh-phas", "from": "pmh", "to": "phas", "role": "Parent company", "period": "As of 2009–2011", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-pub-real-estate-2010", "c-pub-subsidiaries-2009", "c-pub-brotman-holders" ], "kind": "owns" }, { "id": "r-pmh-phfm", "from": "pmh", "to": "phfm", "role": "Parent company (100%)", "period": "As of January 2025", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-phy-split" ], "kind": "owns" }, { "id": "r-pmh-php", "from": "pmh", "to": "php-holdings", "role": "Holder of 51% (parent of the PhysicianCo business)", "period": "From May 23, 2023; as of the July 2025 petition", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-phy-split", "c-mpt-2023-recap", "c-mpt-2023-q3", "c-phy-2023-structure" ], "kind": "owns" }, { "id": "r-pmh-php-services", "from": "pmh", "to": "php-holdings", "role": "Provider of administrative and support services; sponsor of PhysicianCo employee benefit plans", "period": "As of January 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-phy-related-party" ], "kind": "business" }, { "id": "r-rrg-pmh", "from": "pmh-rrg", "to": "pmh", "role": "Self-insurance programme used by the debtors (first $500,000 layer in Pennsylvania)", "period": "Before and after October 1, 2020", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-cap-pa-layers" ], "kind": "business" }, { "id": "r-pmh-pmsinc", "from": "pmh", "to": "pms-inc", "role": "Parent company (listed subsidiary)", "period": "As of the 2009 annual report", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-pub-subsidiaries-2009" ], "kind": "owns" }, { "id": "r-prime-pmh-offer", "from": "prime", "to": "pmh", "role": "Offer of $50 million for PMH by Prime's chief executive", "period": "November 2019", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-coc-prime-offer" ], "kind": "business" }, { "id": "r-pmh-promedhca", "from": "pmh", "to": "promed-hca", "role": "Parent company (100%)", "period": "From June 1, 2007", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-pub-promed", "c-pub-subsidiaries-2009" ], "kind": "owns" }, { "id": "r-pmh-promedhsc", "from": "pmh", "to": "promed-hsc", "role": "Parent company (listed subsidiary)", "period": "As of the 2009 annual report", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-pub-subsidiaries-2009" ], "kind": "owns" }, { "id": "r-pmh-ccmc", "from": "pmh", "to": "prospect-ccmc", "role": "Parent company (indirect)", "period": "From 2016; through the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-master-leases", "c-mpt-2019-signatories", "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-pmh-pcc", "from": "pmh", "to": "prospect-chartercare", "role": "Indirect parent (85% through Prospect East Holdings from 2014; 100% from December 2020)", "period": "From 2014 until the March 2026 sale", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-ri-structure", "c-ri-2014-jv", "c-ri-hospital-transfers", "c-ri-management-fee", "c-ri-2014-price", "c-ch11-debtors", "c-coc-asset-restrictions" ], "kind": "owns" }, { "id": "r-pmh-pcc-funding", "from": "pmh", "to": "prospect-chartercare", "role": "Funded operating shortfalls and controlled vendor payments (member contribution about $120.1 million by 2020)", "period": "2014–2024", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-coc-funding-claim", "c-ri-vendor-control", "c-ri-management-fee" ], "kind": "pays" }, { "id": "r-pcc-pmh-transfer", "from": "prospect-chartercare", "to": "pmh", "role": "Transferred $68.5 million of pandemic relief and Medicare advance funds to", "period": "Fiscal 2020", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ri-cares-transfer" ], "kind": "pays" }, { "id": "r-pcc-pmh-fees", "from": "prospect-chartercare", "to": "pmh", "role": "Paid management fees within the group ($24.7 million of accrued fees forgiven in fiscal 2019)", "period": "Fiscal 2019–2021", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ri-management-fee-history" ], "kind": "pays" }, { "id": "r-pmh-crozer", "from": "pmh", "to": "prospect-crozer", "role": "Parent company (indirect)", "period": "From 2016; through the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2019-signatories", "c-ch11-debtors", "c-coc-chain-2025", "c-pa-closures-2025", "c-pa-dcmh-2022" ], "kind": "owns" }, { "id": "r-pmh-dcmh", "from": "pmh", "to": "prospect-dcmh", "role": "Parent company (indirect)", "period": "From 2016; through the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-master-leases", "c-mpt-2019-signatories", "c-ch11-debtors", "c-pa-dcmh-2022" ], "kind": "owns" }, { "id": "r-pmh-peh", "from": "pmh", "to": "prospect-east-holdings", "role": "Parent company (100%)", "period": "From the 2014 joint venture; through the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ri-structure", "c-ri-2014-application", "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-pmh-echn", "from": "pmh", "to": "prospect-echn", "role": "Indirect parent (100%, through Prospect CT, Inc.)", "period": "From October 2016; through the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-2019-signatories", "c-ch11-debtors", "c-cap-chic", "c-ct-echn-parent", "c-ct-acquisitions" ], "kind": "owns" }, { "id": "r-pmh-pgm", "from": "pmh", "to": "prospect-green-management", "role": "Parent company (100%)", "period": "From December 10, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-buy-pgm-formed" ], "kind": "owns" }, { "id": "r-astrana-healthplan", "from": "astrana", "to": "prospect-health-plan", "role": "Acquired all equity", "period": "July 1, 2025", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-phy-astrana-closing" ], "kind": "owns" }, { "id": "r-pmh-manchester", "from": "pmh", "to": "prospect-manchester", "role": "Indirect parent", "period": "From October 2016; through the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-master-leases", "c-mpt-2019-signatories", "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-pmh-pmsllc", "from": "pmh", "to": "prospect-medical-systems-llc", "role": "Indirect parent (through PHP Holdings and Prospect Intermediate Holdings); named sole principal in the Connecticut draft complaint", "period": "As of 2024–2025", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-reg-doj-cids", "c-ct-ag-pms" ], "kind": "owns" }, { "id": "r-pmh-oldconj", "from": "pmh", "to": "prospect-oldco-nj", "role": "Parent company", "period": "As of 2021–2026", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ch11-ri-eoh", "c-ch11-retained-suits", "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-pmh-rockville", "from": "pmh", "to": "prospect-rockville", "role": "Indirect parent", "period": "From October 2016; through the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-master-leases", "c-mpt-2019-signatories", "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-pmh-waterbury", "from": "pmh", "to": "prospect-waterbury", "role": "Parent company (indirect)", "period": "From 2016; through the November 2025 sale", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-master-leases", "c-ct-waterbury-sale", "c-mpt-2019-signatories", "c-ch11-debtors", "c-ct-acquisitions" ], "kind": "owns" }, { "id": "r-saidaragroup-pmh", "from": "saidara-group", "to": "pmh", "role": "Plan administrator ($72,500 a month)", "period": "From March 5, 2026", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ch11-plan-administrator" ], "kind": "legal" }, { "id": "r-pmh-lee-dividends", "from": "pmh", "to": "samuel-lee", "role": "Paid dividends to (reported recipient; about $90 million of the 2018 dividend)", "period": "2012–2020, including the 2018 dividend recapitalisation", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pay-2018-recap", "c-pay-2018-lee-share", "c-pay-2012-dividend", "c-pay-totals-ri-ag", "c-pay-totals-investigative-report", "c-pay-totals-ct-ag", "c-pay-ri-ag-2024-view" ], "kind": "pays" }, { "id": "r-pmh-lee-transfers", "from": "pmh", "to": "samuel-lee", "role": "Transferred funds to (2018–2021 transfers; committee found viable claims)", "period": "2018–2021", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ch11-insider-transfers" ], "kind": "pays" }, { "id": "r-lee-pmh-codefendant", "from": "samuel-lee", "to": "pmh", "role": "Co-defendant or co-party with PMH (2010 shareholder suits; 2019 California pharmacy accusation; 2021 pension settlement; 2024 pro se and Pennsylvania Attorney General suits; proposed 2025 settlement)", "period": "2010–2025", "status": "documented", "direction": "undirected", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-buy-shareholder-suits", "c-ca-pharmacy-matter", "c-ri-pension-parties", "c-pa-pro-se-suit", "c-pa-ag-suit-2024", "c-pa-9019-motion" ], "kind": "legal" }, { "id": "r-pmh-lee-nonreleased", "from": "pmh", "to": "samuel-lee", "role": "Listed as a non-released party under the Chapter 11 plan (estate claims preserved and funded)", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released", "c-ch11-insider-transfers", "c-ch11-litigation-funding" ], "kind": "legal" }, { "id": "r-pmh-schs", "from": "pmh", "to": "schs", "role": "Parent company (indirect)", "period": "As of 2019; through the 2025 Chapter 11 case", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-mpt-master-leases", "c-mpt-2019-signatories", "c-ca-nor-apa", "c-ch11-debtors", "c-ca-brotman-renamed" ], "kind": "owns" }, { "id": "r-balasiano-guc", "from": "steven-balasiano", "to": "guc-trust", "role": "Trustee", "period": "From March 6, 2026", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ch11-guc-trust" ], "kind": "employs" }, { "id": "r-trust-pmh-alta", "from": "topper-trust", "to": "pmh", "role": "Sold its interest in Alta Healthcare System, Inc. to (with Samuel Lee)", "period": "2007 (early termination June 15, 2007; closed August 8, 2007)", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pub-alta-sellers" ], "kind": "business" }, { "id": "r-pmh-trust-nonreleased", "from": "pmh", "to": "topper-trust", "role": "Listed as a non-released party under the Chapter 11 plan", "period": "Schedule filed October 1, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ch11-non-released" ], "kind": "legal" }, { "id": "r-pmh-uchcfc", "from": "pmh", "to": "uchcfc-waterbury", "role": "Seller representative in the sale of Waterbury Hospital ($13 million with the real estate)", "period": "Agreement of November 6, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-waterbury-sale" ], "kind": "business" }, { "id": "r-ust-pmh", "from": "us-trustee", "to": "pmh", "role": "Objected to the debtors' first disclosure statement", "period": "June 18, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-ch11-plan-path" ], "kind": "legal" }, { "id": "r-pmh-ynhh-sale", "from": "pmh", "to": "ynhh", "role": "Seller under agreement to sell the three Connecticut hospitals ($435 million); motion to assume in 2025", "period": "Agreement of October 5, 2022; assumption motion August 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ct-yale-agreement", "c-ct-yale-assumption", "c-ct-echn-parent" ], "kind": "business" }, { "id": "r-ynhh-pmh-suit", "from": "ynhh", "to": "pmh", "role": "Plaintiff seeking a declaration that it need not close the purchase (Prospect counterclaimed)", "period": "From May 3, 2024; remanded July 22, 2025", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ct-yale-litigation", "c-ct-yale-removal" ], "kind": "legal" }, { "id": "r-ynhh-pmh-settlement", "from": "ynhh", "to": "pmh", "role": "Party to the September 2025 settlement with MPT and Prospect ($45 million cash from Yale)", "period": "September 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-mpt-bankruptcy-settlements" ], "kind": "legal" }, { "id": "r-pmsinc-brotman", "from": "pms-inc", "to": "brotman", "role": "Administered claims payments under a risk-sharing arrangement with Prospect Medical Group", "period": "From October 1, 2005 (amended October 1, 2009)", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-phy-pms-services" ], "kind": "business" }, { "id": "r-pmsinc-pmg-option", "from": "pms-inc", "to": "pmg", "role": "Holder of the assignable option to change Prospect Medical Group's nominee owner", "period": "As of 2008–2011", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-phy-nominee-structure", "c-phy-lipper-purchase" ], "kind": "other" }, { "id": "r-pmg-nuestra", "from": "pmg", "to": "nuestra-familia", "role": "Shareholder (55%)", "period": "As reported for fiscal 2008", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-phy-nominee-structure" ], "kind": "owns" }, { "id": "r-promedhca-rbc", "from": "promed-hca", "to": "rbc", "role": "Guarantor under continuing guaranty in favour of Royal Bank of Canada", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-guarantors-2009" ], "kind": "legal" }, { "id": "r-promedhsc-rbc", "from": "promed-hsc", "to": "rbc", "role": "Guarantor under continuing guaranty in favour of Royal Bank of Canada", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-guarantors-2009" ], "kind": "legal" }, { "id": "r-alta-rbc", "from": "alta-hospitals-system", "to": "rbc", "role": "Guarantor under continuing guaranty in favour of Royal Bank of Canada", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-guarantors-2009" ], "kind": "legal" }, { "id": "r-altala-rbc", "from": "alta-los-angeles", "to": "rbc", "role": "Guarantor under continuing guaranty in favour of Royal Bank of Canada", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-guarantors-2009" ], "kind": "legal" }, { "id": "r-phas-rbc", "from": "phas", "to": "rbc", "role": "Guarantor under continuing guaranty in favour of Royal Bank of Canada", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-guarantors-2009" ], "kind": "legal" }, { "id": "r-pmg-rbc", "from": "pmg", "to": "rbc", "role": "Guarantor under continuing guaranty in favour of Royal Bank of Canada", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-guarantors-2009" ], "kind": "legal" }, { "id": "r-pmsinc-rbc", "from": "pms-inc", "to": "rbc", "role": "Guarantor under continuing guaranty in favour of Royal Bank of Canada", "period": "From July 29, 2009", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-pub-guarantors-2009" ], "kind": "legal" }, { "id": "r-ccmc-ckhs", "from": "prospect-ccmc", "to": "ckhs", "role": "Took over operation of Crozer-Chester Medical Center from (asset purchase)", "period": "July 1, 2016", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pa-acquisition" ], "kind": "business" }, { "id": "r-h2c-pcc", "from": "h2c", "to": "prospect-chartercare", "role": "Marketed the system with a confidential information memorandum", "period": "2021–2022", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ri-cim" ], "kind": "business" }, { "id": "r-pcc-mpttrs", "from": "prospect-chartercare", "to": "mpt-trs-lender", "role": "Pledged CharterCARE assets and gave guarantees for PMH's May 23, 2023 loan (to be released before closing)", "period": "From May 23, 2023", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ri-hospital-fund" ], "kind": "legal" }, { "id": "r-pcc-rwmc", "from": "prospect-chartercare", "to": "pcc-rwmc", "role": "Parent company (100%)", "period": "From 2014 until the March 2026 sale", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-ri-structure" ], "kind": "owns" }, { "id": "r-pcc-sjhsri", "from": "prospect-chartercare", "to": "pcc-sjhsri", "role": "Parent company (100%)", "period": "From 2014 until the March 2026 sale", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-ri-structure" ], "kind": "owns" }, { "id": "r-pehas-pcc", "from": "pehas", "to": "prospect-chartercare", "role": "Manager of the Rhode Island hospitals under a management services agreement", "period": "From 2014", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ri-management-fee" ], "kind": "business" }, { "id": "r-crozer-chariot", "from": "prospect-crozer", "to": "chariot", "role": "Sold Crozer-Chester Medical Center to ($10 million)", "period": "Auction of October 10, 2025; closed January 2026", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pa-auction-2025", "c-pa-county-account" ], "kind": "business" }, { "id": "r-crozer-christiana", "from": "prospect-crozer", "to": "christianacare", "role": "Sold Crozer outpatient sites to", "period": "May 2025", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pa-county-account" ], "kind": "business" }, { "id": "r-crozer-kqt", "from": "prospect-crozer", "to": "kqt-aikens", "role": "Sold Taylor Hospital to", "period": "September 2025", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pa-county-account" ], "kind": "business" }, { "id": "r-mpt-crozer", "from": "mpt", "to": "prospect-crozer", "role": "Mortgagee consenting to the October 2025 hospital sales", "period": "October 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pa-auction-2025" ], "kind": "legal" }, { "id": "r-crozer-udsd", "from": "prospect-crozer", "to": "upper-darby-sd", "role": "Sold Delaware County Memorial Hospital to", "period": "August 2025", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pa-county-account" ], "kind": "business" }, { "id": "r-ct-ctmf", "from": "prospect-ct", "to": "prospect-ct-medical-foundation", "role": "Connecticut parent company", "period": "As of March 9, 2017", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ct-ohca-affiliates" ], "kind": "owns" }, { "id": "r-ct-echn", "from": "prospect-ct", "to": "prospect-echn", "role": "Sole shareholder (100%)", "period": "As of the January 2025 petition", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ct-echn-parent" ], "kind": "owns" }, { "id": "r-dcmh-hhs", "from": "prospect-dcmh", "to": "hhs", "role": "Plaintiff challenging termination of the hospital's Medicare provider agreement", "period": "Listed in the 2026 plan supplement", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-pa-dcmh-medicare" ], "kind": "legal" }, { "id": "r-peh-pcc", "from": "prospect-east-holdings", "to": "prospect-chartercare", "role": "Managing member holding PMH's interest (85%; 100% after the December 2020 purchase of the residual 15%)", "period": "From 2014", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ri-structure", "c-ri-management-fee" ], "kind": "owns" }, { "id": "r-echn-chic", "from": "prospect-echn", "to": "chic", "role": "Registered owner", "period": "As of the 2026 liquidation", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-cap-chic" ], "kind": "owns" }, { "id": "r-echn-pmh-address", "from": "prospect-echn", "to": "pmh", "role": "Registered business address is PMH's address (3824 Hughes Ave., Culver City)", "period": "Registry records retrieved October 2026", "status": "documented", "direction": "undirected", "role_group": "infrastructure", "temporal_status": "unknown", "claim_ids": [ "c-ct-registry" ], "kind": "other" }, { "id": "r-manchester-pmh-address", "from": "prospect-manchester", "to": "pmh", "role": "Registered business address is PMH's address (3824 Hughes Ave., Culver City)", "period": "Registry records retrieved October 2026", "status": "documented", "direction": "undirected", "role_group": "infrastructure", "temporal_status": "unknown", "claim_ids": [ "c-ct-registry" ], "kind": "other" }, { "id": "r-rockville-pmh-address", "from": "prospect-rockville", "to": "pmh", "role": "Registered business address is PMH's address (3824 Hughes Ave., Culver City)", "period": "Registry records retrieved October 2026", "status": "documented", "direction": "undirected", "role_group": "infrastructure", "temporal_status": "unknown", "claim_ids": [ "c-ct-registry" ], "kind": "other" }, { "id": "r-waterbury-pmh-address", "from": "prospect-waterbury", "to": "pmh", "role": "Registered business address is PMH's address (3824 Hughes Ave., Culver City)", "period": "Registry records retrieved October 2026", "status": "documented", "direction": "undirected", "role_group": "infrastructure", "temporal_status": "unknown", "claim_ids": [ "c-ct-registry" ], "kind": "other" }, { "id": "r-echn-ctmf", "from": "prospect-echn", "to": "prospect-ct-medical-foundation", "role": "Listed affiliate operating its physician practices", "period": "As of March 9, 2017", "status": "documented", "direction": "undirected", "role_group": "associations", "temporal_status": "unknown", "claim_ids": [ "c-ct-ohca-affiliates" ], "kind": "business" }, { "id": "r-echn-homehealth", "from": "prospect-echn", "to": "prospect-echn-home-health", "role": "Listed affiliate providing home care", "period": "As of March 9, 2017", "status": "documented", "direction": "undirected", "role_group": "associations", "temporal_status": "unknown", "claim_ids": [ "c-ct-ohca-affiliates" ], "kind": "business" }, { "id": "r-echn-manchester", "from": "prospect-echn", "to": "prospect-manchester", "role": "Parent company (acute-care hospital affiliate)", "period": "As of March 9, 2017", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ct-ohca-affiliates" ], "kind": "owns" }, { "id": "r-echn-rockville", "from": "prospect-echn", "to": "prospect-rockville", "role": "Parent company (acute-care hospital affiliate)", "period": "As of March 9, 2017", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ct-ohca-affiliates" ], "kind": "owns" }, { "id": "r-pgm-lgp", "from": "prospect-green-management", "to": "lgp", "role": "Paid a $1 million annual management fee and a $4 million structuring fee under the management services agreement", "period": "From December 15, 2010 (ten-year term)", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-buy-msa-terms", "c-buy-pgm-formed", "c-buy-msa-guarantee" ], "kind": "pays" }, { "id": "r-agiliti-waterbury", "from": "agiliti", "to": "prospect-waterbury", "role": "Plaintiff for unpaid invoices (default entered February 27, 2024)", "period": "From January 2024", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ct-agiliti-default" ], "kind": "legal" }, { "id": "r-waterbury-mptop", "from": "prospect-waterbury", "to": "mpt-op", "role": "Party to the master agreement for the sale of the hospital real estate", "period": "November 6, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-waterbury-sale" ], "kind": "business" }, { "id": "r-napa-waterbury", "from": "napa-ct", "to": "prospect-waterbury", "role": "Plaintiff for unpaid anesthesia services (more than $3.2 million)", "period": "June 2022", "status": "reported", "direction": "directed", "role_group": "legal", "temporal_status": "unknown", "claim_ids": [ "c-ct-vendor-suits" ], "kind": "legal" }, { "id": "r-waterbury-uchcfc", "from": "prospect-waterbury", "to": "uchcfc-waterbury", "role": "Seller of the Waterbury Hospital operating assets", "period": "Agreement of November 6, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-waterbury-sale", "c-ct-waterbury-pension" ], "kind": "business" }, { "id": "r-elders-pmh", "from": "rob-elders", "to": "pmh", "role": "Co-general counsel", "period": "Undated; listed on the 2026 website and described as former by a profile", "status": "reported", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-website", "c-lead-profiles" ], "kind": "employs" }, { "id": "r-lee-alta-founder", "from": "samuel-lee", "to": "alta-hospitals-system", "role": "Co-founder (1998) and one of two shareholders of Alta Healthcare System until its sale to PMH", "period": "1998 – August 8, 2007", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-pub-lee-background", "c-pub-alta-sellers", "c-pub-alta-indemnity" ], "kind": "owns" }, { "id": "r-lee-alta-ceo", "from": "samuel-lee", "to": "alta-hospitals-system", "role": "Chief executive officer", "period": "From August 8, 2007", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-pub-lee-background" ], "kind": "employs" }, { "id": "r-lee-alta-ftc", "from": "samuel-lee", "to": "alta-hospitals-system", "role": "Named as acquired party (ultimate parent) in the FTC early-termination notice for the sale to Mike Sarian", "period": "September 29, 2025", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ca-ftc-notice" ], "kind": "owns" }, { "id": "r-lee-altala-ftc", "from": "samuel-lee", "to": "alta-los-angeles", "role": "Named as acquired party (ultimate parent) in the FTC early-termination notice for the sale to Mike Sarian", "period": "September 29, 2025", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ca-ftc-notice" ], "kind": "owns" }, { "id": "r-lee-schs-ftc", "from": "samuel-lee", "to": "schs", "role": "Named as acquired party (ultimate parent) in the FTC early-termination notice for the sale to Mike Sarian", "period": "September 29, 2025", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ca-ftc-notice" ], "kind": "owns" }, { "id": "r-sarian-lee-ftc", "from": "michael-sarian", "to": "samuel-lee", "role": "Acquiring party in the transaction for which Lee was named as acquired party (FTC notice)", "period": "September 29, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-ca-ftc-notice" ], "kind": "business" }, { "id": "r-lee-alta-special", "from": "samuel-lee", "to": "alta-hospitals-system", "role": "Co-defendants in the \"Special Litigation\" pending against Alta (indemnified by the sellers)", "period": "Pending at the 2007 sale", "status": "documented", "direction": "undirected", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-pub-alta-indemnity" ], "kind": "legal" }, { "id": "r-lee-topper-special", "from": "samuel-lee", "to": "david-topper", "role": "Co-defendants in the \"Special Litigation\" pending against Alta", "period": "Pending at the 2007 sale", "status": "documented", "direction": "undirected", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-pub-alta-indemnity" ], "kind": "legal" }, { "id": "r-lee-alta-kh", "from": "samuel-lee", "to": "alta-hospitals-system", "role": "Oversaw Kline Hawkes' $3 million investment in Alta as its general partner", "period": "Until the 2001 exit", "status": "reported", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-pub-kline-hawkes" ], "kind": "employs" }, { "id": "r-kh-alta", "from": "kline-hawkes", "to": "alta-hospitals-system", "role": "Investor ($3 million; exited in 2001 with $5.3 million borrowed by Alta)", "period": "Until 2001", "status": "reported", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-pub-kline-hawkes" ], "kind": "owns" }, { "id": "r-lee-brotman", "from": "samuel-lee", "to": "brotman", "role": "Chairman", "period": "From April 21, 2008", "status": "reported", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-lee-later-roles" ], "kind": "directs" }, { "id": "r-lee-chamber", "from": "samuel-lee", "to": "chamber", "role": "Shareholder (66.67% approved in 2021; 50% reported in the 2024 application)", "period": "From 2021", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-coc-chamber", "c-coc-ownership-before-after", "c-coc-chain-2025", "c-coc-ownership-2024" ], "kind": "owns" }, { "id": "r-lee-chamber-ceo", "from": "samuel-lee", "to": "chamber", "role": "Chief executive officer", "period": "As of the 2020 application", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-coc-lee-ceo-2020" ], "kind": "employs" }, { "id": "r-lee-topper-13d", "from": "samuel-lee", "to": "david-topper", "role": "Fellow member of the Schedule 13D reporting group", "period": "December 2010", "status": "documented", "direction": "undirected", "role_group": "associations", "temporal_status": "historical", "claim_ids": [ "c-buy-13d-exit" ], "kind": "other" }, { "id": "r-lee-prasad-13d", "from": "samuel-lee", "to": "jeereddi-prasad", "role": "Fellow member of the Schedule 13D reporting group", "period": "December 2010", "status": "documented", "direction": "undirected", "role_group": "associations", "temporal_status": "historical", "claim_ids": [ "c-buy-13d-exit" ], "kind": "other" }, { "id": "r-lee-heather-13d", "from": "samuel-lee", "to": "mike-heather", "role": "Fellow member of the Schedule 13D reporting group", "period": "December 2010", "status": "documented", "direction": "undirected", "role_group": "associations", "temporal_status": "historical", "claim_ids": [ "c-buy-13d-exit" ], "kind": "other" }, { "id": "r-lee-ivy", "from": "samuel-lee", "to": "ivy-holdings", "role": "Shareholder (20.2% after the 2010 merger; 19.51% before the 2021 transaction)", "period": "December 15, 2010 – 2021", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-ivy-ownership", "c-coc-application-2020", "c-coc-pya-governance", "c-coc-ownership-before-after", "c-coc-ri-ag-summary", "c-buy-rollover" ], "kind": "owns" }, { "id": "r-lee-ivy-ceo", "from": "samuel-lee", "to": "ivy-holdings", "role": "Chief executive officer", "period": "As of the 2020 application", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-coc-lee-ceo-2020" ], "kind": "employs" }, { "id": "r-lee-ivyint-ceo", "from": "samuel-lee", "to": "ivy-intermediate", "role": "Chief executive officer", "period": "As of the 2020 application", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-coc-lee-ceo-2020" ], "kind": "employs" }, { "id": "r-lee-pehas-ceo", "from": "samuel-lee", "to": "pehas", "role": "Chief executive officer", "period": "As of the 2020 application", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-coc-lee-ceo-2020" ], "kind": "employs" }, { "id": "r-lee-peh-ceo", "from": "samuel-lee", "to": "prospect-east-holdings", "role": "Chief executive officer", "period": "As of the 2020 application", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-coc-lee-ceo-2020" ], "kind": "employs" }, { "id": "r-lee-kh", "from": "samuel-lee", "to": "kline-hawkes", "role": "General partner", "period": "Before co-founding Alta in 1998; oversaw the firm's Alta investment until its 2001 exit", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-pub-lee-background", "c-pub-kline-hawkes" ], "kind": "employs" }, { "id": "r-lee-phfm", "from": "samuel-lee", "to": "phfm", "role": "Member of the board of managers", "period": "As of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-phfm-board" ], "kind": "directs" }, { "id": "r-lee-pmh-ceo", "from": "samuel-lee", "to": "pmh", "role": "Chairman and chief executive officer", "period": "Chief executive from March 19, 2008 and chairman from May 14, 2008; chief executive as of 2019–2021", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-pub-lee-background", "c-buy-rollover", "c-coc-lee-ceo-2020", "c-lead-2021-witnesses", "c-mpt-2019-signatories", "c-buy-costs-bonus", "c-pub-lee-share-sales-2010", "c-lead-lee-later-roles" ], "kind": "employs" }, { "id": "r-lee-pmh-director", "from": "samuel-lee", "to": "pmh", "role": "Director (management designee after December 2010)", "period": "From August 8, 2007; on the board at the January 2025 petition date", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-pub-lee-background", "c-buy-board-2010", "c-ch11-board", "c-lead-lee-later-roles" ], "kind": "directs" }, { "id": "r-lee-pmh-public", "from": "samuel-lee", "to": "pmh", "role": "Shareholder (8.3% after the 2007 Alta sale; 30.3% with options in November 2010) and holder of Series B preferred stock electing two directors", "period": "August 8, 2007 – December 15, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-pub-lee-alta-consideration", "c-buy-proxy-owners", "c-pub-preferred-conversion", "c-pub-lee-share-sales-2010", "c-buy-13d-exit" ], "kind": "owns" }, { "id": "r-lee-pmh-indirect", "from": "samuel-lee", "to": "pmh", "role": "Indirect co-owner (through Ivy Holdings; from 2021 through Chamber)", "period": "From December 2010; co-owner of all equity with the Topper trust from 2021", "status": "reported", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-coc-price-ri-ag", "c-pay-ri-ag-2024-view", "c-coc-insider-buyout", "c-coc-ri-ag-summary", "c-coc-investigative-report-terms" ], "kind": "owns" }, { "id": "r-lee-pmh-2019", "from": "samuel-lee", "to": "pmh", "role": "Provided part of the January 2019 cash infusion (described as an emergency loan)", "period": "January 2019", "status": "reported", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-pay-2019-loan-account" ], "kind": "pays" }, { "id": "r-lee-pgm", "from": "samuel-lee", "to": "prospect-green-management", "role": "Chief executive officer (signed the management services agreement)", "period": "December 2010", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-buy-msa-guarantee" ], "kind": "employs" }, { "id": "r-edmiston-phfm", "from": "sherman-edmiston", "to": "phfm", "role": "Member of the board of managers", "period": "As of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-phfm-board" ], "kind": "directs" }, { "id": "r-balasiano-mhr", "from": "steven-balasiano", "to": "mhr", "role": "Founder", "period": "As of March 2026", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ch11-guc-trust" ], "kind": "employs" }, { "id": "r-ternertrust-pmh", "from": "terner-family-trust", "to": "pmh", "role": "Shareholder (8.8%)", "period": "As of November 8, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-proxy-owners" ], "kind": "owns" }, { "id": "r-terner-ternertrust", "from": "jacob-terner", "to": "terner-family-trust", "role": "Family trust of (with spouse)", "period": "As of November 8, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-buy-proxy-owners" ], "kind": "owns" }, { "id": "r-trust-alta", "from": "topper-trust", "to": "alta-hospitals-system", "role": "One of two shareholders of Alta Healthcare System until its sale to PMH", "period": "Until August 8, 2007", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-pub-alta-sellers", "c-pub-alta-indemnity" ], "kind": "owns" }, { "id": "r-trust-chamber", "from": "topper-trust", "to": "chamber", "role": "Shareholder (33.33% approved in 2021; 50% reported in the 2024 application)", "period": "From 2021", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-coc-chamber", "c-coc-ownership-before-after", "c-coc-chain-2025", "c-coc-ownership-2024" ], "kind": "owns" }, { "id": "r-trust-ivy", "from": "topper-trust", "to": "ivy-holdings", "role": "Shareholder (14.9% after the 2010 merger; 14.45% before the 2021 transaction)", "period": "December 15, 2010 – 2021", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-ivy-ownership", "c-coc-ownership-before-after" ], "kind": "owns" }, { "id": "r-trust-pmh", "from": "topper-trust", "to": "pmh", "role": "Shareholder (22.9%)", "period": "As of November 8, 2010; rolled over on December 15, 2010", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "historical", "claim_ids": [ "c-buy-proxy-owners" ], "kind": "owns" }, { "id": "r-crockett-alta", "from": "von-crockett", "to": "alta-hospitals-system", "role": "Member of the board of managers", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-alta-managers" ], "kind": "directs" }, { "id": "r-crockett-brotman", "from": "von-crockett", "to": "brotman", "role": "Chief executive officer", "period": "As of December 2009", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "historical", "claim_ids": [ "c-pub-brotman-crockett" ], "kind": "employs" }, { "id": "r-chh-crockett", "from": "culver-hospital-holdings", "to": "von-crockett", "role": "Plaintiff in suit naming Crockett as a co-defendant", "period": "As of December 2009", "status": "documented", "direction": "directed", "role_group": "legal", "temporal_status": "historical", "claim_ids": [ "c-pub-brotman-crockett" ], "kind": "legal" }, { "id": "r-crockett-phfm", "from": "von-crockett", "to": "phfm", "role": "Member of the board of managers", "period": "As of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-phfm-board" ], "kind": "directs" }, { "id": "r-crockett-php", "from": "von-crockett", "to": "php-holdings", "role": "Senior vice president (signatory of the Astrana side letter)", "period": "July 1, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-astrana-side-letter" ], "kind": "employs" }, { "id": "r-crockett-pmh-director", "from": "von-crockett", "to": "pmh", "role": "Director", "period": "As of the January 2025 petition date", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-ch11-board" ], "kind": "directs" }, { "id": "r-crockett-pmh", "from": "von-crockett", "to": "pmh", "role": "Senior executive; co-chief executive officer by December 2023 and chief executive in 2025", "period": "From at least November 2022 (presented to the board) to 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-co-ceos-2023", "c-lead-2025-management", "c-lead-website", "c-ch11-transaction-committee", "c-ca-nor-apa", "c-lead-profiles", "c-ri-board-oversight" ], "kind": "employs" }, { "id": "r-crockett-pmg", "from": "von-crockett", "to": "pmg", "role": "Senior vice president (acted for it as shareholder of Prospect Health Source)", "period": "As of July 7, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-phy-medical-group-board" ], "kind": "employs" }, { "id": "r-pmh-hasinc", "from": "pmh", "to": "has-inc", "role": "Parent company (affiliated debtor)", "period": "As of the January 2025 petition", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-pmh-ct", "from": "pmh", "to": "prospect-ct", "role": "Parent company (affiliated debtor)", "period": "As of the January 2025 petition", "status": "documented", "direction": "directed", "role_group": "ownership", "temporal_status": "unknown", "claim_ids": [ "c-ch11-debtors" ], "kind": "owns" }, { "id": "r-mpt-ynhh-proceeds", "from": "mpt", "to": "ynhh", "role": "Entitled to $355 million at closing of the Connecticut hospital purchase (per MPT)", "period": "Agreements of October 5, 2022", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-mpt-yale-astrana-rights" ], "kind": "business" }, { "id": "r-mpt-php-proceeds", "from": "mpt", "to": "php-holdings", "role": "Entitled to part of the proceeds of Astrana's purchase of most of PHP Holdings (per MPT)", "period": "Agreement of November 8, 2024", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "unknown", "claim_ids": [ "c-mpt-yale-astrana-rights" ], "kind": "business" }, { "id": "r-echnsale-pmh", "from": "pmh", "to": "echn-holdings", "role": "Seller under the ECHN asset purchase agreement (Rockville General and Manchester Memorial)", "period": "Agreement of September 12, 2025; transition services from December 31, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-echn-sale" ], "kind": "business" }, { "id": "r-echnsale-prospect-ct", "from": "prospect-ct", "to": "echn-holdings", "role": "Seller under the ECHN asset purchase agreement (Rockville General and Manchester Memorial)", "period": "Agreement of September 12, 2025; transition services from December 31, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-echn-sale" ], "kind": "business" }, { "id": "r-echnsale-prospect-echn", "from": "prospect-echn", "to": "echn-holdings", "role": "Seller under the ECHN asset purchase agreement (Rockville General and Manchester Memorial)", "period": "Agreement of September 12, 2025; transition services from December 31, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-echn-sale" ], "kind": "business" }, { "id": "r-echnsale-prospect-rockville", "from": "prospect-rockville", "to": "echn-holdings", "role": "Seller under the ECHN asset purchase agreement (Rockville General and Manchester Memorial)", "period": "Agreement of September 12, 2025; transition services from December 31, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-echn-sale" ], "kind": "business" }, { "id": "r-echnsale-prospect-manchester", "from": "prospect-manchester", "to": "echn-holdings", "role": "Seller under the ECHN asset purchase agreement (Rockville General and Manchester Memorial)", "period": "Agreement of September 12, 2025; transition services from December 31, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-echn-sale" ], "kind": "business" }, { "id": "r-echnsale-prospect-ct-medical-foundation", "from": "prospect-ct-medical-foundation", "to": "echn-holdings", "role": "Seller under the ECHN asset purchase agreement (Rockville General and Manchester Memorial)", "period": "Agreement of September 12, 2025; transition services from December 31, 2025", "status": "documented", "direction": "directed", "role_group": "business", "temporal_status": "historical", "claim_ids": [ "c-ct-echn-sale" ], "kind": "business" }, { "id": "r-res-crockett-prospect-east-holdings", "from": "von-crockett", "to": "prospect-east-holdings", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-topper-prospect-east-holdings", "from": "david-topper", "to": "prospect-east-holdings", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-prospect-ct", "from": "von-crockett", "to": "prospect-ct", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-topper-prospect-ct", "from": "david-topper", "to": "prospect-ct", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-alta-los-angeles", "from": "von-crockett", "to": "alta-los-angeles", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-topper-alta-los-angeles", "from": "david-topper", "to": "alta-los-angeles", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-schs", "from": "von-crockett", "to": "schs", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-topper-schs", "from": "david-topper", "to": "schs", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-prospect-echn", "from": "von-crockett", "to": "prospect-echn", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-topper-prospect-echn", "from": "david-topper", "to": "prospect-echn", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-prospect-rockville", "from": "von-crockett", "to": "prospect-rockville", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-topper-prospect-rockville", "from": "david-topper", "to": "prospect-rockville", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-prospect-manchester", "from": "von-crockett", "to": "prospect-manchester", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-topper-prospect-manchester", "from": "david-topper", "to": "prospect-manchester", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-prospect-oldco-nj", "from": "von-crockett", "to": "prospect-oldco-nj", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-topper-prospect-oldco-nj", "from": "david-topper", "to": "prospect-oldco-nj", "role": "Director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-pehas", "from": "von-crockett", "to": "pehas", "role": "Signed the bankruptcy-filing resolutions for the sole member", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-crcg", "from": "von-crockett", "to": "crcg", "role": "Signed the bankruptcy-filing resolutions for the sole member", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-prospect-chartercare", "from": "von-crockett", "to": "prospect-chartercare", "role": "Signed the bankruptcy-filing resolutions for the sole member", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-prospect-crozer", "from": "von-crockett", "to": "prospect-crozer", "role": "Signed the bankruptcy-filing resolutions for the sole member", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-pcc-rwmc", "from": "von-crockett", "to": "pcc-rwmc", "role": "Signed the bankruptcy-filing resolutions for the sole member", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-pcc-sjhsri", "from": "von-crockett", "to": "pcc-sjhsri", "role": "Signed the bankruptcy-filing resolutions for the sole member", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-prospect-ccmc", "from": "von-crockett", "to": "prospect-ccmc", "role": "Signed the bankruptcy-filing resolutions for the sole member", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-crockett-prospect-dcmh", "from": "von-crockett", "to": "prospect-dcmh", "role": "Signed the bankruptcy-filing resolutions for the sole member", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-saidara-alta-hospitals-system", "from": "frank-saidara", "to": "alta-hospitals-system", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-waterbury", "from": "frank-saidara", "to": "prospect-waterbury", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-has-inc", "from": "frank-saidara", "to": "has-inc", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-east-holdings", "from": "frank-saidara", "to": "prospect-east-holdings", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-ct", "from": "frank-saidara", "to": "prospect-ct", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-alta-los-angeles", "from": "frank-saidara", "to": "alta-los-angeles", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-schs", "from": "frank-saidara", "to": "schs", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-echn", "from": "frank-saidara", "to": "prospect-echn", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-rockville", "from": "frank-saidara", "to": "prospect-rockville", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-manchester", "from": "frank-saidara", "to": "prospect-manchester", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-oldco-nj", "from": "frank-saidara", "to": "prospect-oldco-nj", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-pehas", "from": "frank-saidara", "to": "pehas", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-crcg", "from": "frank-saidara", "to": "crcg", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-chartercare", "from": "frank-saidara", "to": "prospect-chartercare", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-crozer", "from": "frank-saidara", "to": "prospect-crozer", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-pcc-rwmc", "from": "frank-saidara", "to": "pcc-rwmc", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-pcc-sjhsri", "from": "frank-saidara", "to": "pcc-sjhsri", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-ccmc", "from": "frank-saidara", "to": "prospect-ccmc", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-saidara-prospect-dcmh", "from": "frank-saidara", "to": "prospect-dcmh", "role": "Secretary (certified the bankruptcy-filing resolutions)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "employs" }, { "id": "r-res-lee-waterbury", "from": "samuel-lee", "to": "prospect-waterbury", "role": "Director (signed the bankruptcy-filing resolutions as the board with David Topper)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" }, { "id": "r-res-lee-hasinc", "from": "samuel-lee", "to": "has-inc", "role": "Sole director (signed the bankruptcy-filing resolutions as the board)", "period": "As of January 11, 2025", "status": "documented", "direction": "directed", "role_group": "people", "temporal_status": "unknown", "claim_ids": [ "c-lead-subsidiary-boards" ], "kind": "directs" } ], "history": [], "claims": [ { "id": "c-id-incorporation", "kind": "fact", "text": "Prospect Medical Holdings, Inc. (PMH) is a Delaware corporation. Its annual report for the fiscal year ended September 30, 2010 gave IRS employer identification number 33-0564370, SEC Commission File Number 1-32203 and principal executive offices at 10780 Santa Monica Blvd., Suite 400, Los Angeles, California.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh" ] }, { "id": "c-id-edgar-record", "kind": "fact", "text": "The SEC's EDGAR company record for Central Index Key 0001063561 lists PMH as an operating company in standard industrial classification 8011 (offices and clinics of doctors of medicine), incorporated in Delaware, with a September 30 fiscal year end and no ticker.", "qualification": "The EDGAR record shows employer identification number 330604264, which differs from the 33-0564370 given in PMH's fiscal-2010 annual report and in its 2025 Chapter 11 petition.", "response": "", "outcome": "", "source_ids": [ "src-004", "src-001", "src-013" ], "entity_ids": [ "pmh" ] }, { "id": "c-id-origins", "kind": "fact", "text": "PMH's fiscal-2010 annual report states that the business effectively commenced in 1996.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh" ] }, { "id": "c-id-deregistration", "kind": "fact", "text": "After the December 2010 merger, PMH filed SEC Forms 15-12B and 15-15D to terminate the registration and reporting of its securities; the EDGAR record ends with filings made on July 26, 2011, the day PMH also reported the results of a consent solicitation from holders of its senior secured notes to amend their indenture, including its reporting covenants.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-004", "src-073" ], "entity_ids": [ "pmh" ] }, { "id": "c-id-petition", "kind": "fact", "text": "PMH's voluntary Chapter 11 petition (Official Form 201), filed on January 11, 2025 in the U.S. Bankruptcy Court for the Northern District of Texas, gives employer identification number 33-0564370, a principal place of business at 3824 Hughes Avenue, Culver City, California, principal assets in Los Angeles County, lists no other names used in the previous eight years and identifies PMH as a health care business.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-013", "src-002" ], "entity_ids": [ "pmh" ] }, { "id": "c-id-alta-petition", "kind": "fact", "text": "The Chapter 11 petition of Alta Hospitals System, LLC gives employer identification number 26-0620619, a place of business at 3824 Hughes Avenue, Culver City, and principal assets in Los Angeles County.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-050" ], "entity_ids": [ "alta-hospitals-system" ] }, { "id": "c-id-php-petition", "kind": "fact", "text": "The Chapter 11 petition of PHP Holdings, LLC gives employer identification number 47-1856088, its prior name PHP Holdings, Inc., and the address 3824 Hughes Ave., Culver City, California.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-092" ], "entity_ids": [ "php-holdings" ] }, { "id": "c-id-lgp-adviser", "kind": "fact", "text": "Leonard Green & Partners, L.P. is an investment adviser registered with the SEC under CRD number 158164; its annual Form ADV amendment dated March 31, 2026 gives its principal office as 11111 Santa Monica Blvd., Suite 2000, Los Angeles, California.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-042" ], "entity_ids": [ "lgp" ] }, { "id": "c-pub-terner-roles", "kind": "fact", "text": "Jacob Y. Terner, M.D. served as PMH's Chairman, Chief Executive Officer and a director from July 31, 1996 and left those posts during fiscal 2008. Until August 8, 2008 Terner was also the sole shareholder, sole director and chief executive of Prospect Medical Group, Inc., and the sole shareholder and a director and officer of Nuestra Familia Medical Group, Inc.; Terner remained a PMH shareholder.", "qualification": "The filing dates the departure only to fiscal 2008; the 2010 annual report states that Samuel S. Lee was appointed chief executive on March 19, 2008 and chairman on May 14, 2008.", "response": "", "outcome": "", "source_ids": [ "src-043", "src-001" ], "entity_ids": [ "jacob-terner", "pmh", "pmg", "nuestra-familia" ] }, { "id": "c-pub-terner-earlier-career", "kind": "fact", "text": "PMH's fiscal-2006 annual report states that Jacob Terner had been Chairman and Chief Executive Officer of Century MediCorp, Inc. from 1988 to 1992 and, after its merger, an executive vice president and director of Foundation Health Corporation until December 1992, and that Terner was a director of Brotman Medical Center, Inc.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-043" ], "entity_ids": [ "jacob-terner", "century-medicorp", "foundation-health", "brotman" ] }, { "id": "c-pub-terner-sec-1997", "kind": "fact", "text": "PMH's fiscal-2006 annual report disclosed that on June 30, 1997 Jacob Terner consented to a final judgment of permanent injunction in an SEC action arising from an insider-trading investigation into trading in Century MediCorp stock in June and July 1992 before the announcement of its merger with Foundation Health.", "qualification": "", "response": "Terner consented without admitting or denying the allegations, and the report states that the trading under investigation was by persons other than Dr. Terner.", "outcome": "The judgment enjoined Terner from violating Section 10(b) of the Securities Exchange Act and Rule 10b-5 and required a civil penalty of $225,750.", "source_ids": [ "src-043" ], "entity_ids": [ "jacob-terner", "century-medicorp" ], "adverse_subject_ids": [ "jacob-terner" ] }, { "id": "c-pub-officers-2006", "kind": "fact", "text": "PMH's executive officers listed in its fiscal-2006 annual report were Jacob Y. Terner (Chairman, Chief Executive Officer and director), Catherine S. Dickson (President, Chief Operating Officer and director), Mike Heather (Chief Financial Officer), R. Stewart Kahn (Executive Vice President and Secretary), Linda Hodges (Executive Vice President of Compliance), Michael A. Terner (Vice President, HMO Contracting and Health Plan Relations) and Donna Vigil (Vice President, Finance).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-043" ], "entity_ids": [ "pmh", "jacob-terner", "catherine-dickson", "mike-heather", "michael-terner", "donna-vigil" ] }, { "id": "c-pub-dickson", "kind": "fact", "text": "Catherine S. Dickson was elected a PMH director in February 2004 and served as PMH's President and Chief Operating Officer from July 2003; Dickson was also President and Chief Executive Officer of Prospect Medical Systems, having worked there since January 1998. PMH reported that Dickson resigned effective August 25, 2008 as a director, as President and Chief Operating Officer and from all positions with its subsidiaries, including as President and Chief Executive Officer of Prospect Medical Systems, and that under a December 22, 2008 severance and release agreement it agreed to pay Dickson $67,500.", "qualification": "This biography is taken from a 2008 company filing as reproduced on a director-data profile; that profile lists the PMH directorship from the second quarter of 2005 to the third quarter of 2008.", "response": "", "outcome": "", "source_ids": [ "src-052", "src-031" ], "entity_ids": [ "catherine-dickson", "pmh", "pms-inc" ] }, { "id": "c-pub-heather-vigil", "kind": "fact", "text": "Mike Heather was appointed PMH's Chief Financial Officer in April 2004, after serving as chief financial officer and later co-chief executive of WebVision, Inc. and as a Deloitte partner. Donna Vigil served as PMH's Chief Financial Officer from July 1998 and as Vice President of Finance from April 2004.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-064" ], "entity_ids": [ "mike-heather", "donna-vigil", "pmh" ] }, { "id": "c-pub-michael-terner", "kind": "fact", "text": "Michael A. Terner, the son of Jacob Terner, was PMH's Vice President of HMO Contracting and Health Plan Relations. When Executive Vice President R. Stewart Kahn resigned effective July 25, 2007, PMH reported that Kahn's mergers-and-acquisitions and some operating responsibilities would be assumed by Michael Terner. PMH and Michael Terner signed a severance and release agreement dated June 4, 2008.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-043", "src-076", "src-031" ], "entity_ids": [ "michael-terner", "jacob-terner", "pmh" ] }, { "id": "c-pub-terner-separation", "kind": "fact", "text": "In connection with Jacob Terner's departure, PMH agreed to pay the Terner family trust $19,361.10 a month for the twelve months to April 30, 2009 and $42,694.45 a month for the twenty-four months to April 30, 2011, a total of $1,257,000. In September 2009 PMH stopped the payments after determining that Terner was not entitled to them; Terner sued to restore them and a trial began on January 31, 2011.", "qualification": "", "response": "", "outcome": "A 2020 investigative report states that Terner won the full amount due, about $1 million, plus legal fees; the retained court record of the judgment was not available.", "source_ids": [ "src-031", "src-001", "src-041", "src-094" ], "entity_ids": [ "jacob-terner", "pmh" ] }, { "id": "c-pub-alta-acquisition", "kind": "fact", "text": "On August 8, 2007 PMH acquired Alta Healthcare System, Inc., the owner of four community hospitals in Los Angeles County, for about $103 million, paid roughly half in cash and half in stock, and repaid about $41.5 million of Alta's debt; the acquisition financing of $155 million was arranged with Bank of America, N.A. as agent.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "alta-hospitals-system", "bank-of-america" ] }, { "id": "c-pub-alta-sellers", "kind": "fact", "text": "Before the acquisition, Alta Healthcare System, Inc. was owned by Samuel S. Lee and the David & Alexa Topper Family Trust u/d/t September 29, 1997. Alta was merged into Prospect Hospitals System, LLC, a wholly owned PMH subsidiary, and the surviving company became Alta Hospitals System, LLC. The U.S. Federal Trade Commission granted early termination of the Hart-Scott-Rodino waiting period for the transaction on June 15, 2007.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-038", "src-001", "src-045" ], "entity_ids": [ "samuel-lee", "topper-trust", "alta-hospitals-system", "pmh" ] }, { "id": "c-pub-lee-alta-consideration", "kind": "fact", "text": "For the Alta interest, Samuel S. Lee received 943,568 shares of PMH common stock (8.3%), 836,440 shares of Series B preferred stock and $25.6 million in cash, according to Lee's Schedule 13D. The Series B preferred stock carried an 18% cumulative annual dividend, allowed its holders voting as a class to elect two PMH directors and gave them consent rights over specified company actions.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-038" ], "entity_ids": [ "samuel-lee", "pmh" ] }, { "id": "c-pub-alta-indemnity", "kind": "fact", "text": "Under the Alta sale agreement, the selling shareholders, Samuel Lee and the Topper family trust, agreed to indemnify PMH for losses relating to specified litigation pending against Alta, Samuel Lee and David Topper, defined as the \"Special Litigation\".", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-038" ], "entity_ids": [ "samuel-lee", "topper-trust", "david-topper", "pmh", "alta-hospitals-system" ] }, { "id": "c-pub-alta-pledges", "kind": "fact", "text": "To secure the August 2007 acquisition financing, Alta Los Angeles Hospitals, Inc. and Alta Hollywood Hospitals, Inc. granted first and second deeds of trust over Los Angeles Community Hospital, Hollywood Community Hospital, Norwalk Community Hospital and Van Nuys Community Hospital to Bank of America, N.A., and Jacob Terner pledged shares to the same bank.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-031" ], "entity_ids": [ "alta-los-angeles", "alta-hollywood", "bank-of-america", "jacob-terner" ] }, { "id": "c-pub-forbearance-2008", "kind": "fact", "text": "In 2008 PMH and Prospect Medical Group entered into forbearance agreements with Bank of America, N.A., as administrative agent, and the lenders under PMH's first- and second-lien credit facilities (dated April 10, 2008 and amended on April 30 and May 14, 2008), followed by amendments with waivers and consents dated May 15 and June 30, 2008.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-031" ], "entity_ids": [ "pmh", "pmg", "bank-of-america" ] }, { "id": "c-pub-restatement", "kind": "attributed", "text": "A 2020 investigative report states that soon after the Alta acquisition the auditor Ernst & Young found overstated revenue and profit in Alta's accounts, that PMH could not file its reports with the SEC on time, was delisted from the American Stock Exchange and defaulted on its loans, and that in April 2008 Alta restated its 2006 revenue downward by about $4 million.", "qualification": "Attributed to the report; the retained record does not include the restated filings themselves, and PMH's own report describes a suspension of trading rather than a delisting.", "response": "According to the same report, Prospect told the SEC that its investigation had found no “intentional wrongdoing”, and Samuel Lee, in a statement to the publication, dismissed the significance of the restatement and said the bigger problem at the time was that Prospect was in far worse shape than Lee had been led to believe.", "outcome": "PMH's fiscal-2008 annual report states that the American Stock Exchange suspended trading in its shares from January 16, 2008 after the late filing of its fiscal-2007 annual report, that trading resumed on June 18, 2008, and that it incurred about $1,383,000 in costs for restating Alta's pre-acquisition financial statements and for a special investigation by its audit committee completed in March 2008.", "source_ids": [ "src-094", "src-031" ], "entity_ids": [ "pmh", "alta-hospitals-system" ] }, { "id": "c-pub-promed", "kind": "fact", "text": "On June 1, 2007 Prospect Medical Group acquired the ProMed Entities for $48 million, paid as $41.04 million in cash and 1,543,237 PMH shares, and ProMed Health Care Administrators became a wholly owned PMH subsidiary, while Pomona Valley Medical Group and Upland Medical Group became wholly owned subsidiaries of Prospect Medical Group. Jeereddi A. Prasad, M.D., President of the ProMed companies since 1994 (and of Upland Medical Group since 2002), joined PMH's board on June 1, 2007; since 1991 Prasad had also been President and Medical Director of Chaparral Medical Group, Inc., a multi-specialty group Prasad founded.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmg", "promed-hca", "pmh", "jeereddi-prasad", "promed-hsc", "upland", "chaparral" ] }, { "id": "c-pub-lee-background", "kind": "fact", "text": "PMH's fiscal-2010 annual report describes Samuel S. Lee as PMH's Chief Executive Officer since March 19, 2008 and Chairman since May 14, 2008, a member of PMH's board since August 8, 2007, when Lee was also appointed chief executive of Alta, and an officer of all of PMH's direct and indirect subsidiaries; Lee co-founded Alta Healthcare System, Inc. in 1998 after it bought seven hospitals from Paracelsus Healthcare Corporation and had earlier been a general partner of Kline Hawkes & Co.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "samuel-lee", "pmh", "alta-hospitals-system", "kline-hawkes" ] }, { "id": "c-pub-kline-hawkes", "kind": "attributed", "text": "A 2020 investigative report states that Samuel Lee oversaw Kline Hawkes' investment in Alta, that Kline Hawkes invested $3 million and that it exited in 2001 with $5.3 million, which Alta borrowed to pay.", "qualification": "Attributed to the report; the retained record has no transaction document for this investment.", "response": "", "outcome": "", "source_ids": [ "src-094" ], "entity_ids": [ "samuel-lee", "kline-hawkes", "alta-hospitals-system" ] }, { "id": "c-pub-topper-holdings-2008", "kind": "fact", "text": "An August 2008 Schedule 13D amendment reported that David R. Topper, together with Alexa Topper, beneficially owned 5,192,435 PMH shares, or 25.5% of the class. The David & Alexa Topper Family Trust, U/D/T September 29, 1997, is a revocable trust whose settlors and trustees are David R. Topper and Alexa Topper, a married couple.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-008" ], "entity_ids": [ "david-topper", "alexa-topper", "topper-trust", "pmh" ] }, { "id": "c-pub-preferred-conversion", "kind": "fact", "text": "PMH's 2010 merger proxy records that in the quarter ended September 30, 2008 Samuel S. Lee and David R. Topper each acquired 4,182,200 PMH shares at $5.00 per share.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032" ], "entity_ids": [ "samuel-lee", "david-topper", "pmh" ] }, { "id": "c-pub-lee-share-sales-2010", "kind": "fact", "text": "Samuel Lee, then a director, more-than-10% owner and Chief Executive Officer of PMH, reported on Form 4 sales of PMH shares between May 14 and May 18, 2010 at prices from $7.00 to $7.11 under a Rule 10b5-1 trading plan adopted on March 17, 2010, after which Lee directly held 4,976,040 shares.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-104" ], "entity_ids": [ "samuel-lee", "pmh" ] }, { "id": "c-pub-revenue-2006", "kind": "attributed", "text": "A business-directory profile with data for 2005–2006 lists PMH (ticker PZZ) at 400 Corporate Pointe, Culver City, with revenue of $135.8 million and net income of $4.9 million in 2006, against $133.5 million and $4.1 million in 2005.", "qualification": "Directory data compiled from company reports; the underlying annual reports for those years are not among the retained records.", "response": "", "outcome": "", "source_ids": [ "src-062" ], "entity_ids": [ "pmh" ] }, { "id": "c-pub-brotman-stake", "kind": "fact", "text": "PMH acquired about 33% of Brotman Medical Center, a hospital in Culver City, on August 31, 2005. Brotman filed for bankruptcy in October 2007; when it emerged on April 14, 2009 PMH's stake rose to about 72% after a $2.5 million investment, and to about 78% from November 15, 2010 through participation of about $3.07 million in a rights offering.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "brotman" ] }, { "id": "c-pub-brotman-holders", "kind": "fact", "text": "After Brotman's April 2009 reorganization, PMH held 72% of Brotman's shares through Prospect Hospital Advisory Services, Inc., Culver Hospital Holdings held 27% and three other shareholders held the remaining 1%. In February 2011 Prospect Hospital Advisory Services invested $831,466 in a further rights-offering tranche, raising its stake from about 78.14% to about 78.20%.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-084", "src-041" ], "entity_ids": [ "phas", "brotman", "culver-hospital-holdings", "pmh" ] }, { "id": "c-pub-brotman-hospital", "kind": "fact", "text": "PMH's quarterly report for the period ended March 31, 2011 describes Brotman Medical Center in Culver City as a hospital with 420 licensed and 185 staffed beds, 78.2% owned by PMH.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-041" ], "entity_ids": [ "brotman", "pmh" ] }, { "id": "c-pub-brotman-consulting", "kind": "fact", "text": "Prospect Hospital Advisory Services, Inc. (formerly Prospect Medical Management, Inc.) provided consulting services to Brotman from August 1, 2005 for $100,000 a month. An amended and restated agreement dated February 1, 2010, effective April 14, 2009, replaced the fee with 4.5% of Brotman's net operating revenue each month, payable in cash or in Brotman shares, and on January 7, 2010 the adviser bought $3.5 million of Brotman's 15% convertible notes.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041" ], "entity_ids": [ "phas", "brotman" ] }, { "id": "c-pub-brotman-financing", "kind": "fact", "text": "Under Brotman's 2009 reorganization plan, Los Angeles Jewish Home for Aging provided Brotman with financing of up to $22.25 million, secured by personal property and a mortgage on part of Brotman's real estate; PMH did not guarantee Brotman's debt. Brotman also had an April 14, 2009 credit agreement with Gemino Healthcare Finance, LLC.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "brotman", "la-jewish-home", "gemino", "pmh" ] }, { "id": "c-pub-brotman-litigation", "kind": "fact", "text": "After Brotman's rights offering, its minority shareholder Culver Hospital Holdings sued PMH, Prospect Hospital Advisory Services, Brotman and members of Brotman's board. The trial court issued a preliminary injunction barring the conversion of Brotman notes and debt owed to Prospect into shares and the repayment of about $2 million owed to Prospect from the offering proceeds; Prospect appealed.", "qualification": "", "response": "", "outcome": "On October 24, 2011 the California Court of Appeal, Second Appellate District, reversed the June 25, 2010 preliminary injunction, holding that the plaintiff could not bring direct claims that were derivative in nature, and awarded costs on appeal against the plaintiff.", "source_ids": [ "src-001", "src-084" ], "entity_ids": [ "culver-hospital-holdings", "pmh", "phas", "brotman", "samuel-lee" ] }, { "id": "c-pub-brotman-crockett", "kind": "fact", "text": "In December 2009 Von Crockett was chief executive officer of Brotman Medical Center and a co-defendant in the Culver Hospital Holdings suit; on December 16, 2009 Crockett notified shareholders of an offering of $5.5 million of convertible subordinated notes, part of which was to repay $1,965,949 owed to the majority shareholder Prospect Hospital Advisory Services and up to $3 million of unpaid 401(k) contributions.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-084" ], "entity_ids": [ "von-crockett", "brotman", "culver-hospital-holdings", "phas" ] }, { "id": "c-pub-brotman-payors", "kind": "fact", "text": "PMH's March 2011 quarterly report disclosed that Brotman had accrued $13,834,000 for possible overpayments of Medicare outlier payments for its 2005 and 2006 fiscal years, which CMS could reconcile; that Brotman disputed a $4.8 million obligation as a net payer under California's hospital fee legislation, from which the Department of Health Care Services began withholding $65,000 a week for 108 weeks from February 14, 2011; and that $973,000 was accrued for repayment after a Medi-Cal audit.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-041" ], "entity_ids": [ "brotman", "pmh" ] }, { "id": "c-pub-hospitals-2010", "kind": "fact", "text": "At September 30, 2010 PMH owned and operated five hospitals in Los Angeles County with about 759 licensed beds: community hospitals in Hollywood, Los Angeles, Norwalk and Van Nuys acquired with Alta, and Brotman Medical Center in Culver City. Alta Hospitals System, LLC held them through Alta Hollywood Hospitals, Inc. (Hollywood and Van Nuys Community Hospitals) and Alta Los Angeles Hospitals, Inc. (Los Angeles and Norwalk Community Hospitals).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "alta-hospitals-system", "alta-hollywood", "alta-los-angeles", "brotman" ] }, { "id": "c-pub-real-estate-2010", "kind": "fact", "text": "PMH's fiscal-2010 annual report lists hospital real estate owned or controlled through Alta Hospitals System, LLC and Prospect Hospital Advisory Services, Inc.: Hollywood Community Hospital (100 beds), Los Angeles Community Hospital (130 beds), Norwalk Community Hospital (50 beds), the Van Nuys psychiatric hospital (59 beds) and the Brotman Medical Center campus in Culver City (420 beds).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "alta-hospitals-system", "phas", "brotman" ] }, { "id": "c-pub-subsidiaries-2009", "kind": "fact", "text": "The subsidiaries list filed as Exhibit 21.1 with PMH's 2009 annual report includes Alta Hospitals System, LLC, Alta Los Angeles Hospitals, Inc., Alta Hollywood Hospitals, Inc. and Brotman Medical Center, Inc. (California), Prospect Medical Systems, Inc. and Prospect Hospital Advisory Services, Inc. (Delaware), ProMed Health Services Company and ProMed Health Care Administrators (California), and affiliated medical groups.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-019" ], "entity_ids": [ "pmh", "alta-hospitals-system", "alta-los-angeles", "alta-hollywood", "brotman", "pms-inc", "phas", "promed-hsc", "promed-hca" ] }, { "id": "c-pub-notes-2009", "kind": "fact", "text": "On July 29, 2009 PMH issued $160 million of 12.75% senior secured notes due 2014 at 92.335% of face value under Rule 144A and Regulation S, with U.S. Bank National Association as indenture trustee, and opened a three-year $15 million revolving credit facility with Royal Bank of Canada as administrative agent and Jefferies Finance LLC, which had not been drawn by fiscal year-end 2010.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "us-bank", "rbc", "jefferies" ] }, { "id": "c-pub-guarantors-2009", "kind": "fact", "text": "PMH's 2009 notes and revolving facility were jointly and severally guaranteed by its restricted subsidiaries other than Brotman, Nuestra Familia and certain immaterial subsidiaries, and secured by first-priority liens on substantially all assets. A continuing guaranty of July 29, 2009 in favour of Royal Bank of Canada was given by subsidiaries including Alta Hospitals System, LLC, Alta Hollywood Hospitals, Inc., Alta Los Angeles Hospitals, Inc., ProMed Health Care Administrators, ProMed Health Services Company, Prospect Hospital Advisory Services, Inc., Prospect Medical Group, Inc. and Prospect Medical Systems, Inc.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "rbc", "alta-hospitals-system", "alta-hollywood", "alta-los-angeles", "promed-hca", "promed-hsc", "phas", "pmg", "pms-inc" ] }, { "id": "c-buy-approach", "kind": "fact", "text": "PMH's 2010 merger proxy recounts that from October 2009 management met potential sources of capital, including Leonard Green, and that on April 13, 2010 Leonard Green, on behalf of Green Equity Investors V, submitted a nonbinding proposal to buy all PMH shares for $7.50 in cash, conditional on Samuel Lee, David Topper, Mike Heather and Dr. Jeereddi Prasad rolling over a significant part of their equity.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032" ], "entity_ids": [ "pmh", "lgp", "gei-v", "samuel-lee", "david-topper", "mike-heather", "jeereddi-prasad" ] }, { "id": "c-buy-merger", "kind": "fact", "text": "On December 15, 2010 Ivy Merger Sub Corp. merged into PMH and PMH became an indirect wholly owned subsidiary of Ivy Holdings Inc. (the \"Ivy Merger\"); PMH's common stock ceased trading on the NASDAQ Global Market. Each share was converted into the right to receive $8.50 in cash, except shares held by Ivy Holdings, including shares contributed to it immediately before the merger by Samuel S. Lee, Mike Heather, David R. Topper, Dr. Jeereddi A. Prasad and certain employees.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "ivy-holdings", "samuel-lee", "mike-heather", "david-topper", "jeereddi-prasad" ] }, { "id": "c-buy-rollover", "kind": "fact", "text": "Immediately before the merger, the rollover investors, Samuel S. Lee (Chairman and Chief Executive Officer), Mike Heather (Chief Financial Officer), David R. Topper (President of the Alta Hospitals System subsidiary) and Dr. Jeereddi A. Prasad (a director and President of the ProMed Health Services subsidiary), contributed a total of 6,227,824 PMH shares to Ivy Holdings in exchange for 529,365 shares of Ivy Holdings common stock.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "samuel-lee", "mike-heather", "david-topper", "jeereddi-prasad", "ivy-holdings", "pmh", "alta-hospitals-system", "promed-hsc" ] }, { "id": "c-buy-ivy-formation", "kind": "fact", "text": "Ivy Holdings Inc. was formed by, and before the merger solely owned by, Green Equity Investors V, L.P. and Green Equity Investors Side V, L.P., Delaware limited partnerships affiliated with Leonard Green & Partners, L.P., which the proxy described as a private equity firm with about $9 billion of equity commitments under management. The general partner of each fund is GEI Capital V, LLC, a Leonard Green affiliate. The merger subsidiary, formed on July 21, 2010, was a wholly owned subsidiary of Ivy Intermediate Holding Inc., itself wholly owned by Ivy Holdings.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032" ], "entity_ids": [ "ivy-holdings", "gei-v", "gei-side-v", "lgp", "gei-capital-v", "ivy-intermediate" ] }, { "id": "c-buy-holding-chain", "kind": "fact", "text": "After the merger all 100 outstanding shares of PMH common stock were owned by Ivy Intermediate Holding, Inc., a wholly owned subsidiary of Ivy Holdings Inc., and there was no public trading market for PMH's stock.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "ivy-intermediate", "ivy-holdings" ] }, { "id": "c-buy-ivy-ownership", "kind": "fact", "text": "PMH's fiscal-2010 annual report lists the owners of Ivy Holdings after the merger as Green Equity Investors V, L.P. (46.0%), Green Equity Investors Side V, L.P. (13.8%), Ivy LGP Co-Invest LLC (1.5%), Samuel Lee (20.2%), the David & Alexa Topper Family Trust (14.9%), Mike Heather (1.6%), Jeereddi Prasad, M.D. (1.2%) and other PMH employees (0.8%).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "ivy-holdings", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "samuel-lee", "topper-trust", "mike-heather", "jeereddi-prasad" ] }, { "id": "c-buy-control-62", "kind": "fact", "text": "PMH's quarterly report for the period ended March 31, 2011 states that after the merger PMH was 62% indirectly owned by the Leonard Green funds and 38% indirectly owned by the rollover and additional employee investors, and that it recorded a capital contribution of about $844,000 from the funds.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-041" ], "entity_ids": [ "pmh", "gei-v", "gei-side-v", "lgp" ] }, { "id": "c-buy-funding", "kind": "fact", "text": "The 2010 merger proxy estimated that about $150,976,370 was needed to complete the merger, including about $127,984,876 for stockholders, $21,705,123 for option holders and $1,210,371 for warrant holders. Under an equity commitment letter the Leonard Green funds committed to buy $161,000,000 of equity in Ivy Holdings: Green Equity Investors V, L.P. $118,818,000 (73.8%) and Green Equity Investors Side V, L.P. $42,182,000 (26.2%).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032" ], "entity_ids": [ "gei-v", "gei-side-v", "ivy-holdings", "pmh" ] }, { "id": "c-buy-preferred", "kind": "fact", "text": "Besides common stock, the Leonard Green funds bought Ivy Holdings' 13.5% Senior Redeemable Exchangeable Cumulative Preferred Stock with an initial liquidation value of about $69,180,000 for about the same price. The preferred stock carries a cumulative annual dividend of 13.5% of liquidation value, ranks ahead of the common stock for dividends and is redeemable at a premium starting at 107% in 2011 and declining to 100% in 2015.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "gei-v", "gei-side-v", "ivy-holdings", "lgp" ] }, { "id": "c-buy-notes-backstop", "kind": "fact", "text": "The Leonard Green funds agreed in the merger agreement to provide a backstop commitment for funds needed to meet the change-of-control repurchase provisions of PMH's senior secured notes. After the merger, holders tendered $8,200,000 of notes, which PMH repurchased effective January 19, 2011.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041" ], "entity_ids": [ "gei-v", "gei-side-v", "pmh" ] }, { "id": "c-buy-indenture-consents", "kind": "fact", "text": "On December 15, 2010 PMH and U.S. Bank National Association, as trustee, entered into a First Supplemental Indenture permitting PMH to make certain \"Restricted Payments\" immediately after the merger, and PMH and Royal Bank of Canada signed a consent and agreement amending covenants of PMH's credit agreement in connection with the merger.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041" ], "entity_ids": [ "pmh", "us-bank", "rbc" ] }, { "id": "c-buy-dividend-policy", "kind": "fact", "text": "PMH's fiscal-2010 annual report states that PMH had not previously paid cash dividends on its common stock and that its new credit agreements allowed dividends of up to 50% of consolidated net income when no default existed.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh" ] }, { "id": "c-buy-board-2010", "kind": "fact", "text": "After the merger, affiliates of Leonard Green & Partners, L.P. had the right to designate three of PMH's five directors, John Baumer, Michael Solomon and Alyse Wagner, and the management stockholders designated the other two, Samuel Lee and Jeereddi A. Prasad, M.D.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "lgp", "pmh", "john-baumer", "michael-solomon", "alyse-wagner", "samuel-lee", "jeereddi-prasad" ] }, { "id": "c-buy-lgp-directors", "kind": "fact", "text": "PMH's fiscal-2010 annual report describes John Baumer as a Leonard Green partner since 1999 who led the due diligence for the Prospect acquisition, Michael Solomon as a Leonard Green principal since 2000 and Alyse Wagner as a Leonard Green vice president since 2003 who took part in that due diligence; all three became PMH directors on December 15, 2010.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "john-baumer", "michael-solomon", "alyse-wagner", "lgp", "pmh" ] }, { "id": "c-buy-ivy-officers", "kind": "fact", "text": "The 2010 merger proxy describes Ivy Holdings Inc. as a Delaware corporation controlled by the Leonard Green funds, with its business address care of Leonard Green & Partners, L.P. at 11111 Santa Monica Boulevard, Los Angeles, and names John Baumer as its President and Alyse Wagner, a Leonard Green vice president, as its Vice President, Secretary & Treasurer.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032" ], "entity_ids": [ "ivy-holdings", "gei-v", "gei-side-v", "lgp", "john-baumer", "alyse-wagner" ] }, { "id": "c-buy-proxy-owners", "kind": "fact", "text": "The 2010 merger proxy's beneficial ownership table (as of November 8, 2010) lists Samuel S. Lee with 7,152,290 shares (30.3%), the David & Alexa Topper Family Trust with 4,967,922 (22.9%), the Terner Family Trust of Jacob Y. Terner and spouse with 1,880,424 (8.8%), Nelson Obus with 1,411,446 (6.6%), Joshua Landes with 1,349,174 (6.3%), Mike Heather with 742,833 (3.4%) and Jeereddi A. Prasad with 395,434 (1.8%).", "qualification": "The table also attributes 13,258,479 shares (54.5%) to Ivy Holdings, GEI Capital V, LLC, Green V Holdings LLC, Leonard Green & Partners, L.P., LGP Management, Inc. and the Leonard Green funds by virtue of voting agreements with the rollover investors; these are not additional shares.", "response": "", "outcome": "", "source_ids": [ "src-032" ], "entity_ids": [ "samuel-lee", "topper-trust", "terner-family-trust", "jacob-terner", "nelson-obus", "joshua-landes", "mike-heather", "jeereddi-prasad", "pmh", "ivy-holdings", "lgp", "gei-capital-v" ] }, { "id": "c-buy-costs-bonus", "kind": "fact", "text": "The merger proxy estimated PMH's own merger expenses at $6,135,000, including a $2,600,000 financial adviser fee and $3,100,000 of legal fees, and PMH's compensation committee approved a $1,235,000 bonus for Chief Executive Officer Samuel Lee payable only on completion of the merger. The FTC granted early termination of the Hart-Scott-Rodino waiting period on September 14, 2010.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032", "src-001" ], "entity_ids": [ "pmh", "samuel-lee" ] }, { "id": "c-buy-price-accounts", "kind": "attributed", "text": "Later accounts give different figures for the 2010 transaction: the U.S. Senate Budget Committee's chair and ranking member described a $205 million acquisition, the Rhode Island Attorney General said Leonard Green bought a majority of the public shares for about $150 million, a consultant's report for the Rhode Island Department of Health cited Leonard Green's initial investment in Ivy Holdings as about $151 million, and a nonprofit research report described a $363 million leveraged buyout that assumed $158 million of debt.", "qualification": "The figures measure different things (total transaction value, the equity paid for public shares, and the funds' own investment) and are reported by the bodies cited, not taken from the 2010 merger documents.", "response": "", "outcome": "", "source_ids": [ "src-005", "src-003", "src-040" ], "entity_ids": [ "lgp", "pmh", "gei-v" ] }, { "id": "c-buy-shareholder-suits", "kind": "fact", "text": "Shareholder class actions challenging the buyout were filed in the Delaware Court of Chancery, including Bruce Lessey v. Prospect Medical Holdings, Inc. (filed August 25, 2010) and Thomas McCormack v. Samuel Lee (filed September 1, 2010), against PMH, the rollover investors, the special committee members, the Leonard Green funds, Ivy Holdings, the merger subsidiary and Leonard Green; they were consolidated on September 28, 2010 as In re Prospect Medical Holdings, Inc. Shareholders Litigation, C.A. No. 5760-VCN, alleging breach of fiduciary duty over the price and process. A second action by six shareholders was filed on December 30, 2010.", "qualification": "These are allegations in shareholder complaints; PMH's March 2011 quarterly report states that the defendants believed the claims were without merit.", "response": "PMH's March 2011 quarterly report states that the defendants believed the actions were without merit.", "outcome": "No later outcome of these actions was found in the retained records.", "source_ids": [ "src-032", "src-041" ], "entity_ids": [ "pmh", "samuel-lee", "lgp", "ivy-holdings", "gei-v", "gei-side-v" ] }, { "id": "c-buy-option-plan", "kind": "fact", "text": "Ivy Holdings' board adopted the 2010 Stock Option Plan of Ivy Holdings Inc. on December 15, 2010, and on February 22, 2011 options over 86,476 Ivy Holdings shares were granted to fifteen PMH employees.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-041" ], "entity_ids": [ "ivy-holdings", "pmh" ] }, { "id": "c-buy-tax-sharing", "kind": "fact", "text": "At the closing of the merger, Ivy Holdings, Ivy Intermediate Holding Inc. and PMH entered into a tax sharing agreement allowing PMH to make payments to its two parent companies for taxes they owe as parents of the consolidated group.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-041" ], "entity_ids": [ "ivy-holdings", "ivy-intermediate", "pmh" ] }, { "id": "c-buy-q2-2011-financials", "kind": "fact", "text": "PMH's unaudited balance sheet at March 31, 2011 showed total assets of $388.1 million, liabilities of $294.8 million, long-term debt of $150.3 million plus $22.8 million current portion, and stockholder's equity of $96.4 million; revenue for the six months was $294.5 million and the net loss attributable to PMH $3.8 million.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-041" ], "entity_ids": [ "pmh" ] }, { "id": "c-buy-pgm-formed", "kind": "fact", "text": "On December 10, 2010 PMH formed a wholly owned subsidiary, Prospect Green Management, LLC, to be used solely to pay management compensation to Leonard Green for advisory services.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041" ], "entity_ids": [ "pmh", "prospect-green-management", "lgp" ] }, { "id": "c-buy-msa-terms", "kind": "fact", "text": "Under a management services agreement dated December 15, 2010, Prospect Green Management, LLC agreed to pay Leonard Green & Partners, L.P. an annual fee of $1,000,000 regardless of the services provided, a one-time structuring fee of $4,000,000 for the merger, fees for major transactions as agreed and expenses of up to $50,000 a year, for a ten-year term renewing annually. PMH's March 2011 quarterly report states that the subsidiary paid the $4,000,000 fee and $441,000 of expenses for the merger.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-041", "src-095" ], "entity_ids": [ "prospect-green-management", "lgp", "pmh" ] }, { "id": "c-buy-msa-guarantee", "kind": "fact", "text": "Samuel S. Lee signed the management services agreement as chief executive of Prospect Green Management, LLC and John Baumer signed for Leonard Green & Partners, L.P. through its general partner LGP Management, Inc.; Ivy Holdings Inc. and Ivy Intermediate Holding Inc. unconditionally guaranteed the subsidiary's obligations to Leonard Green.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-095" ], "entity_ids": [ "samuel-lee", "prospect-green-management", "john-baumer", "lgp", "lgp-management", "ivy-holdings", "ivy-intermediate" ] }, { "id": "c-pay-mgmt-fees", "kind": "attributed", "text": "According to a January 2020 report by a nonprofit research group, based on a Prospect submission to Connecticut's Office of the Attorney General, payments to Leonard Green and other owners comprised a $1 million annual management fee for 2011–2019 ($9,000,000), a $4,441,000 fee for the December 2010 Ivy Holdings merger, a $100,000,000 dividend in November 2012 and a $457,000,000 dividend in February 2018, a total of $570,441,000.", "qualification": "Totals compiled by the report from a company submission; other accounts give different totals for different periods and payment types (see the cumulative estimates).", "response": "", "outcome": "", "source_ids": [ "src-040" ], "entity_ids": [ "lgp", "pmh" ] }, { "id": "c-pay-msa-status-2021", "kind": "attributed", "text": "The Rhode Island Attorney General's 2021 decision records that a ten-year management services agreement was signed between Prospect and Leonard Green when Leonard Green invested in 2010, and that the parties stated the fee was no longer being charged and the agreement would be terminated after the 2021 transaction.", "qualification": "The statement about the fee no longer being charged is the parties' account as recorded by the Attorney General.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "lgp" ] }, { "id": "c-pay-2012-dividend", "kind": "attributed", "text": "The Rhode Island Attorney General's 2021 decision, citing PMH's audited fiscal-2013 financial statements, states that in 2012, under Leonard Green's control, PMH paid Leonard Green and other shareholders, principally Samuel Lee and David Topper, a $188 million dividend funded by a bond issue. A 2020 investigative report likewise describes $188 million paid to Leonard Green and its investors in two rounds of dividends financed with high-yield bonds.", "qualification": "A 2020 nonprofit research report, citing a Prospect submission to Connecticut's Attorney General, gives a $100 million dividend in November 2012; the retained records do not reconcile the two amounts.", "response": "", "outcome": "", "source_ids": [ "src-003", "src-094", "src-040" ], "entity_ids": [ "pmh", "lgp", "samuel-lee", "david-topper" ] }, { "id": "c-pay-2013-dividend", "kind": "attributed", "text": "The Connecticut Attorney General's draft complaint states that PMH paid $88 million to its main investor, Leonard Green & Partners, in 2013. The Rhode Island Attorney General's 2024 decision states that when PMH entered Rhode Island in 2014 it assured the regulator that the 2013 dividend to its main investor was a one-time payment and that no similar distributions were planned for the foreseeable future, and calls reliance on that assurance misplaced in light of the 2018 distributions.", "qualification": "These are statements of state attorneys general in a draft pleading and a regulatory decision; the retained records do not include PMH's 2013 financial statements.", "response": "", "outcome": "", "source_ids": [ "src-088", "src-081" ], "entity_ids": [ "pmh", "lgp" ] }, { "id": "c-pay-2018-recap", "kind": "attributed", "text": "According to the Rhode Island Attorney General's 2021 decision, relying on consultants' reports by PYA and James P. Carris, PMH took on $1.12 billion of debt in fiscal 2018 and its board authorised a $457 million dividend (the \"2018 Dividend\") from the proceeds in a leveraged dividend recapitalisation; the principal beneficiaries were Leonard Green, David Topper and Samuel Lee, and after the payment PMH had cash equal to about one day of operating expenses.", "qualification": "A footnote in the same decision describes the board-approved distribution as $458 million in February 2018; the main text uses $457 million.", "response": "", "outcome": "", "source_ids": [ "src-003", "src-088" ], "entity_ids": [ "pmh", "lgp", "david-topper", "samuel-lee" ] }, { "id": "c-pay-2018-pya", "kind": "fact", "text": "The consultant PYA, P.C., reporting to the Rhode Island Department of Health on April 6, 2021 from PMH's audited fiscal-2018 statements, states that the roughly $1.12 billion of 2018 recapitalisation debt funded a dividend of about $457 million, refinanced earlier credit facilities, pre-funded about $40 million of subsidiaries' pension obligations and paid option holders and working capital; at September 30, 2018 PMH had an equity deficit of about $623 million, $7.7 million of cash (about one day of expenses) and about $208 million drawn on its revolver.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh" ] }, { "id": "c-pay-2018-size", "kind": "attributed", "text": "The Rhode Island Attorney General's 2021 decision states that the 2018 dividend equalled about 60 days of PMH's operating expenses and was paid when PMH had cash for about one day; that in fiscal 2018 PMH's net loss exceeded $240 million, its liabilities exceeded its assets by more than $620 million and its unfunded pension liabilities were about $260 million.", "qualification": "Findings of the Attorney General drawn from PMH's audited statements as analysed by the Attorney General's consultants.", "response": "", "outcome": "", "source_ids": [ "src-003", "src-033" ], "entity_ids": [ "pmh" ] }, { "id": "c-pay-2018-proposal", "kind": "attributed", "text": "Several accounts state that the 2018 dividend was initially planned at about $600 million and reduced to $457 million after Moody's warned that the transaction would lead to a downgrade: a nonprofit research report describes a proposed $1.2 billion loan that was restructured, the Connecticut Attorney General's draft complaint describes a planned $600 million distribution to private shareholders and executives, and a 2020 investigative report gives the same figures.", "qualification": "The retained records do not include the 2018 board materials or Moody's communication; the accounts are attributed to the named sources.", "response": "", "outcome": "", "source_ids": [ "src-081", "src-094", "src-040" ], "entity_ids": [ "pmh" ] }, { "id": "c-pay-2018-lee-share", "kind": "attributed", "text": "The Connecticut Attorney General's draft complaint states that $90 million of the $457 million 2018 dividend went to Samuel Lee; a December 2023 letter from the chair and ranking member of the U.S. Senate Budget Committee, citing CBS News, also states that PMH's head made about $90 million from the debt-funded dividend.", "qualification": "Allegations and reported figures; Samuel Lee's response to these figures was not found in the retained records.", "response": "", "outcome": "", "source_ids": [ "src-081", "src-005" ], "entity_ids": [ "samuel-lee", "pmh" ] }, { "id": "c-pay-2019-dividend-infusion", "kind": "attributed", "text": "The Rhode Island Attorney General's consultants report that in fiscal 2019 PMH paid shareholders a further $44 million, almost matching the $41 million that shareholders contributed that year for a new electronic medical records system; the Attorney General records that on January 25, 2019 the sponsor and part of management contributed $41 million in cash, citing Moody's, which noted that at the end of the first quarter of fiscal 2019 Prospect had no free cash and $20 million of availability under its asset-based credit line.", "qualification": "Figures drawn from PMH's audited fiscal-2019 statements and Moody's as summarised in the Attorney General's decision.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "lgp" ] }, { "id": "c-pay-2019-infusion-character", "kind": "attributed", "text": "PYA's 2021 report characterises the Leonard Green funds' fiscal-2019 capital contribution as in substance a shareholder loan for short-term liquidity that was returned through dividends, and records the testimony of John Baumer and Alyse Wagner that, apart from the initial 2010 investment of about $151 million in Ivy Holdings, the funds had invested no further money. The Rhode Island Attorney General states that apart from about $25 million contributed as part of the $41 million 2019 infusion and returned within a year, Leonard Green never invested its own money in PMH.", "qualification": "Characterisations by the consultant and the Attorney General; the Leonard Green funds were described as near the end of their life and obliged to liquidate their investments.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "lgp", "gei-v", "pmh", "john-baumer", "alyse-wagner", "ivy-holdings" ] }, { "id": "c-pay-2019-loan-account", "kind": "attributed", "text": "A 2020 investigative report, quoting former Chief Financial Officer Steve Aleman, states that in January 2019 Prospect received an emergency $41 million loan from Leonard Green, Samuel Lee and David Topper to remove the auditor's going-concern doubts and avoid breaching loan covenants.", "qualification": "Account of a former executive reported by the publication; other records describe the January 2019 payment as a capital contribution.", "response": "The report states that a Prospect lawyer accused Aleman of making false and defamatory statements to the publication, that Aleman's lawyer denied it and that Aleman confirmed that the comments were accurate.", "outcome": "", "source_ids": [ "src-094" ], "entity_ids": [ "pmh", "lgp", "samuel-lee", "david-topper" ] }, { "id": "c-pay-moodys-2019", "kind": "attributed", "text": "According to the Rhode Island Attorney General's decision, in March 2019 Moody's Investors Service downgraded PMH's credit rating to B3, citing very high financial leverage and a shareholder-friendly financial policy.", "qualification": "The rating action is cited by the Attorney General; the Moody's publication itself is not retained.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh" ] }, { "id": "c-pay-totals-senate", "kind": "attributed", "text": "The December 2023 letter from the chair and ranking member of the U.S. Senate Budget Committee states that Leonard Green exited PMH completely in 2021 and that over about a decade of ownership Leonard Green and other owners extracted $658 million in fees and dividends.", "qualification": "Figure stated in a Senate committee letter; it differs from other cumulative estimates because of period and payment definitions.", "response": "", "outcome": "", "source_ids": [ "src-005" ], "entity_ids": [ "lgp", "pmh" ] }, { "id": "c-pay-totals-investigative-report", "kind": "attributed", "text": "A 2020 investigative report states that dividends totalling $645 million were paid after Leonard Green's purchase: about $386 million to Leonard Green investors and the firm, $128 million to Samuel Lee, $94 million to David Topper and $37 million to other Prospect executives, plus $14 million of fees to the fund. A 2026 follow-up report estimates that Samuel Lee personally received $128 million and David Topper $94 million through the Topper family trust, and that Leonard Green and the founders together took $658 million in fees and dividends in the decade after 2010.", "qualification": "Estimates published by investigative journalists; they are not audited figures.", "response": "Leonard Green and Prospect told the 2020 report, in written statements through a jointly retained public-relations firm, that they had kept their commitments, abided by the law, provided good patient care and invested hundreds of millions of dollars, saving many failing hospitals and preserving thousands of jobs. For the 2026 report Leonard Green declined to respond to questions, Samuel Lee could not be reached for comment and David Topper answered “no comment”.", "outcome": "", "source_ids": [ "src-094", "src-089" ], "entity_ids": [ "pmh", "lgp", "samuel-lee", "david-topper", "topper-trust" ] }, { "id": "c-pay-totals-ct-ag", "kind": "attributed", "text": "The Connecticut Attorney General's draft complaint states that PMH paid $645 million in dividends to its main investors and management in recent years, including $128 million to Samuel Lee and $131 million to other executives.", "qualification": "Allegations in a draft complaint attached to a proof of claim; they have not been adjudicated.", "response": "", "outcome": "", "source_ids": [ "src-081" ], "entity_ids": [ "pmh", "samuel-lee" ] }, { "id": "c-pay-totals-ri-ag", "kind": "attributed", "text": "The Rhode Island Attorney General's 2021 decision states that from 2012 to 2020 Leonard Green, Samuel Lee and David Topper paid themselves more than half a billion dollars in cash from debt placed on PMH, while PMH recorded cumulative losses of $603 million for fiscal 2015–2020; the Attorney General's consultant James P. Carris stated that dividends of about $500 million and losses of $603 million left a stockholders' deficit of $1.06 billion.", "qualification": "Conclusions of the Attorney General and the Attorney General's consultant from PMH's audited statements.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "lgp", "samuel-lee", "david-topper", "pmh" ] }, { "id": "c-pay-ri-ag-2024-view", "kind": "attributed", "text": "In announcing the June 20, 2024 decision, the Rhode Island Attorney General stated that PMH is principally owned by Samuel Lee and David Topper (through a trust), that its former co-owner and majority owner was the private equity firm Leonard Green, which exited in 2021, and that in 2018–2019 Lee, Topper and Leonard Green extracted hundreds of millions of dollars to the detriment of the hospitals.", "qualification": "Statement by the Attorney General in a press release.", "response": "", "outcome": "", "source_ids": [ "src-025" ], "entity_ids": [ "pmh", "samuel-lee", "david-topper", "lgp" ] }, { "id": "c-fin-audited-2015-2020", "kind": "fact", "text": "PMH's audited statements for fiscal 2015 to 2020, as summarised by the Rhode Island Attorney General's consultant, show net revenue rising from $1.3 billion to $2.73 billion while operating income fell from $108.3 million to $15.6 million and long-term debt, excluding finance leases, rose from $451 million to nearly $1.6 billion; PMH paid about $478 million of interest over the period.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh" ] }, { "id": "c-fin-audited-2017-2020", "kind": "fact", "text": "PYA's summary of PMH's audited statements shows net income of $34.3 million in fiscal 2017 and net losses of $244.2 million in 2018, $297.7 million in 2019 and $99.6 million in 2020, on revenue of $2.91 billion, $2.89 billion, $2.85 billion and $2.73 billion; equity moved from $67.3 million in 2017 to deficits of $622.3 million, $970.1 million and $1,059.6 million.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh" ] }, { "id": "c-fin-2020-balance", "kind": "fact", "text": "PMH's audited fiscal-2020 statements report total assets of $2,042,389,000 and total liabilities of $3,102,004,000, liabilities exceeding assets by more than $1 billion; in 2017 assets had exceeded liabilities by about $67 million. Liabilities to Medical Properties Trust, net of the current portion, were $1,290,556,000 and the accumulated deficit at September 30, 2020 was $1,124,577,000.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "mpt" ] }, { "id": "c-fin-ratios", "kind": "attributed", "text": "The Attorney General's consultant calculated from PMH's audited statements that its debt-to-equity ratio turned negative from fiscal 2018, when liabilities exceeded assets, and that its quick ratio was below 1.0 in every year from fiscal 2015 to 2020.", "qualification": "Ratios calculated by the consultant.", "response": "The decision cites testimony by Leonard Green partner Alyse Wagner as pointing the other way on PMH's liquidity (“Contra Wagner”), but the content of that testimony is not shown in the public decision.", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh" ] }, { "id": "c-fin-cares", "kind": "fact", "text": "PMH received about $276 million of federal CARES Act funds as Medicare advance payments, repayable to CMS, and about $183 million of Provider Relief Fund stimulus payments. At September 30, 2020 PMH reported cash of about $387 million, of which about $120 million reflected deferred payables and most of the increase came from government programmes, and about $211 million was available under its line of credit.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh" ] }, { "id": "c-fin-carris-outlook", "kind": "attributed", "text": "James P. Carris, the Rhode Island Attorney General's financial consultant, concluded on April 26, 2021 that PMH's liabilities exceeded its assets by more than $1 billion, that it had six-year cumulative losses of more than $600 million while its owners had taken more than $500 million in dividends, that management relied on debt and a $200 million credit line, that the TRS note was due in July 2022 with most real estate already sold to Medical Properties Trust, and that a liquidity crisis could be expected within 18 to 24 months.", "qualification": "Forward-looking assessment by the Attorney General's consultant.", "response": "", "outcome": "Beginning on January 11, 2025 PMH and its affiliated debtors filed voluntary Chapter 11 cases in the U.S. Bankruptcy Court for the Northern District of Texas.", "source_ids": [ "src-003", "src-002" ], "entity_ids": [ "pmh", "mpt" ] }, { "id": "c-fin-veralon-2024", "kind": "attributed", "text": "Veralon, the Rhode Island Attorney General's consultant in 2024, reported from PMH's audited statements a net loss of $342 million in fiscal 2019 and $183 million in fiscal 2022, net margins between -3.3% and -14.6% and EBITDA margins of 2.7–4.6% over fiscal 2019–2022, accounts payable and accrued liabilities of $264.3 million, $383.0 million and $311.0 million at fiscal year-ends 2019–2021, and a current ratio that deteriorated from fiscal 2019 and had not exceeded 1.0 since the end of fiscal 2020; Veralon described PMH's financial condition as tenuous and recorded that management had to manage cash daily and decide which vendors to pay.", "qualification": "Analysis by the Attorney General's consultant.", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "pmh" ] }, { "id": "c-mpt-2019-agreement", "kind": "fact", "text": "Under a real property asset purchase agreement dated July 10, 2019 between PMH, its subsidiaries and Medical Properties Trust companies, the purchase price for PMH hospital real estate was $1,385,796,096 subject to adjustment, a TRS lender was to lend PMH $112,937,204 (the \"TRS Loan\"), and a separate mortgage loan of $51,266,700 was to be advanced for one financed property.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-018" ], "entity_ids": [ "pmh", "mpt", "mpt-trs-lender" ] }, { "id": "c-mpt-2019-signatories", "kind": "fact", "text": "Samuel S. Lee signed the July 10, 2019 agreement for PMH and its participating subsidiaries Alta Los Angeles Hospitals, Inc., Southern California Healthcare System, Inc., Alta Newport Hospital, Inc., Prospect Manchester Hospital, Inc., Prospect Rockville Hospital, Inc., Prospect Waterbury, Inc., Prospect Crozer, LLC, Prospect ECHN, Inc., Prospect CCMC, LLC and Prospect DCMH, LLC, as PMH's Chairman and Chief Executive Officer and as president or senior vice president of the subsidiaries.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-018" ], "entity_ids": [ "samuel-lee", "pmh", "alta-los-angeles", "schs", "alta-newport-inc", "prospect-manchester", "prospect-rockville", "prospect-waterbury", "prospect-crozer", "prospect-echn", "prospect-ccmc", "prospect-dcmh" ] }, { "id": "c-mpt-2019-buyers", "kind": "fact", "text": "The buyers of the non-California hospital real estate under the July 2019 agreement were MPT property companies whose sole member is MPT Operating Partnership, L.P., including MPT of Waterbury PMH, LLC; the California properties were bought by MPT partnerships, and the TRS lender was MPT TRS Lender PMH, LLC, whose sole member is MPT Development Services, Inc.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-018" ], "entity_ids": [ "mpt-op", "mpt-waterbury", "mpt-trs-lender", "mpt-development-services", "mpt" ] }, { "id": "c-mpt-2019-closing", "kind": "attributed", "text": "According to the Rhode Island Attorney General's consultant, on August 23, 2019 PMH closed three transactions with affiliates of Medical Properties Trust, Inc.: the sale of all of PMH's hospital buildings in California (except Foothill Regional Medical Center), Connecticut and Pennsylvania for about $1.4 billion with a 15-year leaseback and options to extend for up to another 15 years; a mortgage loan of about $51 million on the Foothill property at 7.5% maturing in August 2034; and the TRS promissory note of about $113 million.", "qualification": "Summary by the consultant of the footnotes to PMH's audited statements.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "mpt" ] }, { "id": "c-mpt-cross-default", "kind": "attributed", "text": "The consultant reported that the three 2019 transactions were cross-collateralised and cross-defaulted, with no personal guarantees from Leonard Green, Samuel Lee or David Topper, and that the hospital operating companies and the Rhode Island real estate were excluded from the cross-collateral and cross-default arrangements.", "qualification": "As described in the Rhode Island Attorney General's 2021 decision from PMH's financial statement footnotes and the applicant's stipulation.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "mpt", "lgp", "samuel-lee", "david-topper" ] }, { "id": "c-mpt-trs-note", "kind": "attributed", "text": "Under the TRS note, Medical Properties Trust advanced PMH about $113 million at 7.5% a year with an annual escalator, maturing at the earlier of July 2022 or a sale-leaseback of the Rhode Island properties; about $105.5 million was outstanding at September 30, 2020. The Rhode Island Attorney General noted that if the note matured unpaid or was not renegotiated, the Rhode Island hospitals would have become subject to a sale-leaseback, and that the 2019 sale-leaseback proceeds were used to repay debt assumed in 2018.", "qualification": "As reported in the Attorney General's 2021 decision and its consultant's report.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "mpt" ] }, { "id": "c-mpt-master-leases", "kind": "attributed", "text": "According to PMH's chief restructuring officer, on August 23, 2019 certain PMH subsidiaries signed two master lease agreements with Medical Properties Trust affiliates as lessors, one with Prospect CCMC, LLC, Prospect DCMH, LLC, Prospect Manchester Hospital, Inc. and Prospect Rockville Hospital, Inc. as lessees and one with Prospect CCMC, LLC, Southern California Healthcare System, Inc., Alta Los Angeles Hospitals, Inc. and Prospect Waterbury, Inc.; lease obligations under them were $760 million at the petition date.", "qualification": "The debtors stated that they do not concede that the arrangements are true leases.", "response": "The debtors reserved the position that the master leases are not true leases.", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "mpt", "prospect-ccmc", "prospect-dcmh", "prospect-manchester", "prospect-rockville", "schs", "alta-los-angeles", "prospect-waterbury" ] }, { "id": "c-mpt-senate-valuation", "kind": "attributed", "text": "The December 2023 letter of the U.S. Senate Budget Committee's chair and ranking member states that PMH could pay off its debt, used in part for dividends, only by selling much of its real estate, 14 acute-care hospitals and 2 behavioral health hospitals, to Medical Properties Trust in a sale-leaseback, and that Delaware County Memorial Hospital in Pennsylvania then had to pay $35 million a year in rent; the letter asked the parties to document a $1.55 billion valuation of the properties.", "qualification": "Characterisation and questions in a Senate committee letter.", "response": "", "outcome": "", "source_ids": [ "src-005" ], "entity_ids": [ "pmh", "mpt", "prospect-dcmh" ] }, { "id": "c-mpt-2022-impairment", "kind": "fact", "text": "Medical Properties Trust reported that in the second quarter of 2022 it funded an additional $100 million on an existing mortgage loan secured by a California hospital, that Prospect stayed current on rent and interest until the fourth quarter of 2022, and that it then recorded an impairment charge of about $280 million, reducing the carrying value of the Pennsylvania properties to about $250 million.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-024" ], "entity_ids": [ "mpt", "pmh" ] }, { "id": "c-mpt-2023-recap", "kind": "fact", "text": "On May 23, 2023 Prospect affiliates completed a transaction with funds managed or advised by Centerbridge Credit CS, L.P. and Blue Torch Capital L.P. and with Medical Properties Trust: Centerbridge and Blue Torch provided $375 million of new capital, and in exchange for a reduction of about $646 million of obligations owed to MPT, MPT received senior preferred units representing 49% of PHP Holdings and a convertible promissory note. Prospect's $250 million asset-based revolving facility was repaid and its receivables became first-lien security for an MPT delayed-draw term loan of up to $75 million.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-011" ], "entity_ids": [ "pmh", "centerbridge", "blue-torch", "mpt", "php-holdings" ] }, { "id": "c-mpt-2023-instruments", "kind": "fact", "text": "As part of the May 2023 transaction, PHP Holdings, LLC issued a convertible promissory note of about $732 million to MPT Picasso Investors TRS, LLC; Prospect DCMH, LLC and Prospect CCMC, LLC borrowed under a real estate loan agreement with MPT affiliates, of which about $167 million was outstanding at the petition date; and PMH and certain subsidiaries entered into a loan agreement with MPT TRS Lender PMH, LLC as agent for a $25 million term loan and a $50 million delayed-draw term loan.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "php-holdings", "mpt-picasso", "prospect-dcmh", "prospect-ccmc", "mpt", "pmh", "mpt-trs-lender" ] }, { "id": "c-mpt-2023-reconstitution", "kind": "fact", "text": "Medical Properties Trust stated in May 2023 that its $1.6 billion of Prospect-related assets would be reconstituted as an investment of about $513 million in six leased California hospitals under a master lease; a $457 million investment in Connecticut real estate that Yale New Haven Health was expected to acquire, recovered through $355 million of cash at closing and managed-care equity; and a $150 million first-lien mortgage loan plus managed-care equity of $100 million resulting from the transfer of the Pennsylvania real estate back to Prospect.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-011" ], "entity_ids": [ "mpt", "pmh", "ynhh" ] }, { "id": "c-mpt-2023-q3", "kind": "fact", "text": "Medical Properties Trust reported in October 2023 that its investment in Prospect was $1.1 billion, that Prospect had resumed paying contractual rent of about $3 million a month through February 2024 and was to begin full rent on the roughly $513 million California portfolio at a mid-8% cash rate in March 2024, that its $75 million delayed-draw term loan to Prospect, secured by insurance receivables, was drawn to $45 million in the third quarter and $65 million afterwards, and that it had recorded about $82 million in the second and third quarters of 2023 from receiving an investment in PHP Holdings instead of cash rent and interest.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-014" ], "entity_ids": [ "mpt", "pmh", "php-holdings" ] }, { "id": "c-mpt-2024-default", "kind": "fact", "text": "Medical Properties Trust's 2024 annual report states that Prospect leased nine facilities under two master leases running to August 2034, that MPT also held a $155 million first mortgage loan on four Pennsylvania facilities and a $75 million term loan, all cross-defaulted and cross-collateralised, and that Prospect had made no scheduled rent or interest payment since the second quarter of 2024; MPT recorded more than $400 million of impairments and negative fair value adjustments on its Prospect investments in the fourth quarter of 2024.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-024" ], "entity_ids": [ "mpt", "pmh" ] }, { "id": "c-mpt-yale-astrana-rights", "kind": "fact", "text": "Medical Properties Trust stated that under definitive agreements of October 5, 2022 for the sale of three Connecticut facilities to Yale it was entitled to receive $355 million at closing, and that it was entitled to part of the proceeds of Astrana Health's purchase of most of PHP Holdings.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-024" ], "entity_ids": [ "mpt", "ynhh", "astrana", "php-holdings" ] }, { "id": "c-mpt-funded-debt-2025", "kind": "attributed", "text": "According to PMH's chief restructuring officer, at the January 2025 petition date the group had about $2.3 billion of funded obligations, of which about $1.1 billion sat with the debtors: about $84 million under a hospital revolving facility, $75 million under a hospital term loan, $167 million under the MPT mortgage loan and $760 million of lease obligations under the MPT master leases; the non-debtor physician business owed $453 million under a term loan and $732 million under convertible notes held by MPT.", "qualification": "Figures stated in the debtors' first-day declaration.", "response": "", "outcome": "Medical Properties Trust reported that in March 2025 the bankruptcy court approved a settlement allowing Prospect to sell its hospital operations and related real estate with MPT's cooperation, and that in September 2025 it settled with Prospect and Yale New Haven Health System.", "source_ids": [ "src-044", "src-002" ], "entity_ids": [ "pmh", "mpt", "php-holdings" ] }, { "id": "c-mpt-consent-refusal", "kind": "attributed", "text": "PMH's chief restructuring officer stated that in November 2024 Centerbridge proposed $20 million of interim financing and that in December 2024 Medical Properties Trust refused to consent to it, depriving the company of a bridge to a Chapter 11 filing; the declaration also states that on October 21, 2024, in anticipation of a forbearance agreement with MPT and at MPT's demand, PMH's special committee was disbanded and independent director Elizabeth Abrams was replaced by Jeremy Rosenthal.", "qualification": "These are the debtors' statements in a sworn first-day declaration; Medical Properties Trust's account of these events was not found in the retained records.", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "mpt", "centerbridge", "elizabeth-abrams", "jeremy-rosenthal" ] }, { "id": "c-mpt-bankruptcy-settlements", "kind": "fact", "text": "Medical Properties Trust reported that in March 2025 the bankruptcy court approved a settlement among MPT, Prospect and others allowing Prospect to sell its hospital operations and related real estate with MPT's cooperation; that in September 2025 it settled with Prospect and Yale New Haven Health System, with $45 million in cash from Yale, the proceeds of the three Connecticut hospital sales and other consideration expected to exceed MPT's debtor-in-possession loan balance of about $100 million; and that it had agreed in principle to lease the California hospitals to NOR Healthcare Systems Corp. at stabilised annual cash rent of about $45 million, subject to regulatory approval.", "qualification": "Expectations stated by MPT in an October 2025 earnings release; its only remaining potential DIP commitment was a conditional loan of up to $30 million secured by assets including litigation proceeds.", "response": "", "outcome": "", "source_ids": [ "src-044" ], "entity_ids": [ "mpt", "pmh", "ynhh", "nor" ] }, { "id": "c-mpt-exit-loan", "kind": "fact", "text": "On March 6, 2026 PMH and the other borrowers entered into a backstop loan and security agreement with MPT TRS Lender PMH, LLC providing secured exit financing: a single term loan of up to $30,000,000 for administrative and priority claims and a delayed-draw loan of $25,000,000 from receivables proceeds connected with the sales of the Waterbury, Manchester and Rockville hospitals; $34,398,684.09 of debtor-in-possession obligations rolled into the exit facility. Under an assumption agreement of the same date, the Prospect GUC Trust took over the borrowers' obligations as substitute borrower.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079" ], "entity_ids": [ "pmh", "mpt-trs-lender", "guc-trust" ] }, { "id": "c-mpt-exit-loan-parties", "kind": "fact", "text": "The exit loan agreement names Paul Rundell as authorised person for the borrowers before the debt passed to the GUC Trust, Frank Saidara for the designated Prospect entity and Steven Balasiano and Amanda Swift for the GUC Trust; payments go to an account of MPT Development Services, Inc. at JPMorgan Chase.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079" ], "entity_ids": [ "paul-rundell", "frank-saidara", "steven-balasiano", "guc-trust", "mpt-development-services", "pmh" ] }, { "id": "c-coc-merger-agreement", "kind": "fact", "text": "Ivy Holdings Inc. and Chamber Inc. entered into an Agreement and Plan of Merger dated October 2, 2019 under which Chamber would become Ivy Holdings' sole stockholder through the merger of a Chamber subsidiary into Ivy Holdings; Chamber submitted an initial application under Rhode Island's Hospital Conversions Act to the Rhode Island Attorney General on December 13, 2019.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-010" ], "entity_ids": [ "ivy-holdings", "chamber" ] }, { "id": "c-coc-chamber", "kind": "fact", "text": "Chamber Inc. is a Delaware corporation incorporated on September 17, 2019 to carry out the transaction, with bylaws essentially mirroring Ivy Holdings'; Chamber and Ivy Holdings gave their principal offices as 3415 South Sepulveda Blvd., 9th Floor, Los Angeles. The transaction was for Samuel S. Lee and the David & Alexa Topper Family Trust to acquire all of the equity in Chamber, which would become the parent of Ivy Intermediate Holding Inc.; Ivy Holdings would remain Ivy Intermediate's parent and Ivy Intermediate would remain PMH's parent.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-010" ], "entity_ids": [ "chamber", "ivy-holdings", "samuel-lee", "topper-trust", "ivy-intermediate", "pmh", "david-topper" ] }, { "id": "c-coc-lee-ceo-2020", "kind": "fact", "text": "In the 2020 application Samuel S. Lee was identified as chief executive officer of Chamber Inc., Ivy Holdings Inc., Ivy Intermediate Holding Inc., PMH, Prospect East Holdings, Inc. and Prospect East Hospital Advisory Services, LLC.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-010" ], "entity_ids": [ "samuel-lee", "chamber", "ivy-holdings", "ivy-intermediate", "pmh", "prospect-east-holdings", "pehas" ] }, { "id": "c-coc-price-ri-ag", "kind": "attributed", "text": "According to the Rhode Island Attorney General's June 1, 2021 decision, the transaction contemplated Lee and Topper (through the Topper family trust) buying out Leonard Green's roughly 60% stake in Ivy Holdings and the stakes of minority shareholders for a total of $11,940,992.00; rather than use their own money, Lee and Topper anticipated taking the $11.9 million out of PMH, and Leonard Green would also be relieved of responsibility for PMH's roughly $3.1 billion of liabilities. The Attorney General's consultant stated that the price of about $12 million was to be accounted for as a share buyback directly from PMH.", "qualification": "Findings of the Attorney General and the Attorney General's consultant.", "response": "A 2020 investigative report quotes a statement by Prospect and Samuel Lee that \"in effect, the company's money is their money.\"", "outcome": "On June 1, 2021 the Attorney General approved the application with conditions.", "source_ids": [ "src-003", "src-094" ], "entity_ids": [ "samuel-lee", "david-topper", "lgp", "ivy-holdings", "pmh", "topper-trust" ] }, { "id": "c-coc-investigative-report-terms", "kind": "attributed", "text": "A 2020 investigative report states that in October 2019 the private equity firm agreed to sell its 60% stake to Lee and Topper for $12 million in cash plus the assumption of $1.3 billion of lease obligations, the $12 million to be paid by Prospect rather than the two executives, and that a drag-along provision would force all shareholders to sell.", "qualification": "As reported by the publication; it also reports that former chief financial officer Steve Aleman sued in California in February 2020 seeking restoration of stock options and a 2018 bonus.", "response": "Prospect and Lee told the publication: \"In effect, the company's money is their money.\"", "outcome": "", "source_ids": [ "src-094" ], "entity_ids": [ "lgp", "samuel-lee", "david-topper", "pmh" ] }, { "id": "c-coc-pya-governance", "kind": "fact", "text": "PYA's report to the Rhode Island Department of Health states that Lee and Topper held about 34% of Ivy Holdings at the time of the application and would hold 100% after the transaction, that the proposed owners were also leaders of the operating companies, and that Leonard Green would vacate three of the five seats on Ivy Holdings' board.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "samuel-lee", "david-topper", "ivy-holdings", "lgp" ] }, { "id": "c-coc-insider-buyout", "kind": "attributed", "text": "The Rhode Island Attorney General described the 2021 transaction as an in-house buy-out of majority stockholders whose representatives made up 60% of the board, and stated that after it Samuel Lee and David Topper would become the sole owners of Prospect.", "qualification": "Characterisation in the Attorney General's decision.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "lgp", "pmh", "samuel-lee", "david-topper" ] }, { "id": "c-coc-ownership-before-after", "kind": "fact", "text": "The Rhode Island Department of Health's June 1, 2021 decision records that before the transaction Ivy Holdings was owned by Green Equity Investors V, LP (44.48%), Green Equity Investors Side V, LP (13.34%), Samuel Lee (19.51%) and the Topper family trust (14.45%), with other managers holding under 10% each, and that afterwards Ivy Holdings would be wholly owned by Chamber Inc., owned 66.67% by Samuel Lee and 33.33% by David Topper's family trust.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-037", "src-003" ], "entity_ids": [ "ivy-holdings", "gei-v", "gei-side-v", "samuel-lee", "topper-trust", "chamber", "david-topper" ] }, { "id": "c-coc-ownership-2024", "kind": "fact", "text": "The Rhode Island Department of Health's 2024 decision notes that the 2024 Hospital Conversions Act application reported that Samuel Lee and the David & Alexa Topper Family Trust each owned 50% of Chamber, rather than the 66.67% and 33.33% approved in 2021, and that it was unclear when this change occurred; Chamber remained the for-profit parent of the system that includes Roger Williams Medical Center and Our Lady of Fatima Hospital.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-037" ], "entity_ids": [ "chamber", "samuel-lee", "topper-trust" ] }, { "id": "c-coc-application-2020", "kind": "fact", "text": "The 2020 application stated that Ivy Holdings was owned by private equity partnerships, Samuel Lee, David Topper through the Topper family trust and other managers, that after the transaction the Leonard Green investor and the minority management shareholders would hold no interest, and that the shareholders who were officers or directors, Samuel Lee, David Topper, Dr. Jeereddi Prasad, Dr. Mitchell Lew and Bruce Grimshaw, had submitted conflict-of-interest statements; John Baumer, Alyse Wagner, Michael Solomon and Dr. Prasad received no compensation as board members.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-010" ], "entity_ids": [ "ivy-holdings", "samuel-lee", "david-topper", "jeereddi-prasad", "mitchell-lew", "bruce-grimshaw", "john-baumer", "alyse-wagner", "michael-solomon", "pmh" ] }, { "id": "c-coc-funding-claim", "kind": "fact", "text": "In the 2020 application the transacting parties stated that the transaction would be funded entirely with corporate cash, that they would incur no additional debt and pay no dividends to the acquirer as a result of it, and that Chamber, Ivy Holdings, Ivy Intermediate, Prospect East Holdings and Prospect East Hospital Advisory Services had no financial statements because they had no financial activity; they also reported that the member contribution to Prospect CharterCARE had risen from about $65.2 million to about $120.1 million.", "qualification": "These are the applicants' own statements in a regulatory filing.", "response": "", "outcome": "", "source_ids": [ "src-010" ], "entity_ids": [ "chamber", "ivy-holdings", "ivy-intermediate", "prospect-east-holdings", "pehas", "prospect-chartercare", "pmh" ] }, { "id": "c-coc-prime-offer", "kind": "attributed", "text": "The Rhode Island Attorney General's decision states that in November 2019 the chief executive of Prime Healthcare Services offered $50 million for PMH.", "qualification": "Reported in the Attorney General's decision; the offer document is not retained.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "prime", "pmh" ] }, { "id": "c-coc-approval-2021", "kind": "fact", "text": "On June 1, 2021 the Rhode Island Attorney General approved the transaction with conditions under the Hospital Conversions Act. The conditions required Prospect and Leonard Green to set aside $80 million in escrow or letters of credit for the Rhode Island hospitals, to pay all operating losses for five years, to invest $72 million in capital expenditure through fiscal 2026 (at least $10 million a year) and to forgo management fees, among other conditions; Chamber, as acquirer, was required to pay for monitoring of compliance through an escrow.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "lgp", "chamber" ] }, { "id": "c-coc-escrows", "kind": "fact", "text": "The conditions required the $10,000,000 payable to Leonard Green under the merger agreement to be contributed to the escrows, and the escrows to be funded before closing as a $12,000,000 global conditions escrow (Prospect $4,000,000, Leonard Green $8,000,000), a $41,000,000 capital expenditure escrow (Prospect $14,200,000, Leonard Green $26,800,000) and a $27,000,000 escrow funded entirely by Prospect for Medicare advance repayments.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "lgp", "pmh" ] }, { "id": "c-coc-escrow-agreement", "kind": "fact", "text": "According to the debtors' October 2025 bankruptcy motion, the cash escrow was funded under an escrow agreement dated June 1, 2021 among City National Bank as escrow agent, Prospect and Leonard Green affiliates and James P. Carris as escrow trustee, with the global conditions escrow funded $4 million by Prospect and $8 million by Leonard Green and the capital expenditure escrow $14.2 million by Prospect and $26.8 million by Leonard Green, to be released back in instalments as capital spending thresholds were met.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-037" ], "entity_ids": [ "pmh", "lgp" ] }, { "id": "c-coc-asset-restrictions", "kind": "fact", "text": "The 2021 conditions prohibited the Rhode Island hospitals' real estate from being pledged or used as collateral without the Attorney General's approval (conditions 9 and 17), and barred the sale, transfer or encumbrance of any Prospect CharterCARE property worth more than $100,000 during the monitoring period without 60 days' notice and approval; the Attorney General noted that the cash generated by Prospect CharterCARE was swept daily to Prospect.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "prospect-chartercare" ] }, { "id": "c-coc-trs-condition", "kind": "fact", "text": "A condition of the 2021 decision required Prospect to extend the maturity of the TRS note held by Medical Properties Trust by five years from April 30, 2021, during which Prospect CharterCARE's assets could not be used to repay it, including through a sale-leaseback; after that period any transfer of its assets required the Attorney General's approval.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "mpt", "prospect-chartercare" ] }, { "id": "c-coc-senate-escrow", "kind": "attributed", "text": "The December 2023 Senate Budget Committee letter states that Leonard Green's exit from the Rhode Island hospitals was approved only under conditions requiring it to contribute $34.8 million to an escrow fund protecting the hospitals, including $10 million it would otherwise have received in the transaction.", "qualification": "Summary in a Senate committee letter; the figure combines Leonard Green's shares of the escrows set by the Attorney General.", "response": "", "outcome": "", "source_ids": [ "src-005" ], "entity_ids": [ "lgp", "pmh" ] }, { "id": "c-coc-pension-settlement-pya", "kind": "fact", "text": "PYA's report records that in December 2020 subsidiaries of Ivy Holdings agreed to pay $27.5 million in settlement of litigation over pension funding, of which about $22.5 million was expensed in fiscal 2020 and about $5 million was allocated to the purchase of the 15% residual interest in Prospect CharterCARE held by CharterCARE Community Board.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "ivy-holdings", "prospect-chartercare", "chartercare-community-board" ] }, { "id": "c-coc-chain-2025", "kind": "fact", "text": "Debtor filings in the Chapter 11 case describe Chamber Inc. as a Delaware corporation owned by Samuel Lee and the David Topper family trust and as the sole owner of Ivy Holdings Inc., which is the sole owner of Ivy Intermediate Holding, Inc., which is the sole owner of PMH. In November 2024 PMH and Prospect Crozer, LLC filed a corporate disclosure statement in the Eastern District of Pennsylvania naming Ivy Intermediate Holding, Ivy Holdings and Chamber.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-037", "src-069" ], "entity_ids": [ "chamber", "samuel-lee", "topper-trust", "ivy-holdings", "ivy-intermediate", "pmh", "prospect-crozer" ] }, { "id": "c-ri-2014-application", "kind": "fact", "text": "On or about October 18, 2013 PMH, Prospect East Holdings, Inc. and Prospect East Hospital Advisory Services, LLC, together with Prospect CharterCARE, filed a Hospital Conversions Act application with the Rhode Island Attorney General to buy assets of the nonprofit CharterCARE Health Partners, Roger Williams Medical Center and St. Joseph Health Services of Rhode Island and form a joint venture to own and operate the CharterCARE system; the Attorney General issued a decision on May 16, 2014.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-010" ], "entity_ids": [ "pmh", "prospect-east-holdings", "pehas", "prospect-chartercare", "chartercare-health-partners" ] }, { "id": "c-ri-2014-jv", "kind": "fact", "text": "Under the 2014 joint venture, PMH owned 85% and CharterCARE Health Partners 15% of the new Prospect CharterCARE, whose board was appointed equally by the two owners; the transaction included a $50 million long-term capital commitment to be funded by PMH and an annual $10 million routine commitment by Prospect CharterCARE. PMH's chief restructuring officer later described the June 2014 partnership as making Prospect the majority owner while sharing governance equally with CharterCARE Community Board.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-002" ], "entity_ids": [ "pmh", "chartercare-health-partners", "prospect-chartercare", "chartercare-community-board" ] }, { "id": "c-ri-2014-price", "kind": "fact", "text": "The Rhode Island Department of Health's 2024 decision states that in 2014 PMH bought an 85% interest in the existing hospitals for $45 million, with a $50 million capital commitment within four years of closing; a nonprofit research report likewise stated that Prospect paid about $45 million for its 85% stake.", "qualification": "The 2014 transaction documents themselves are not retained.", "response": "", "outcome": "", "source_ids": [ "src-040", "src-037" ], "entity_ids": [ "pmh", "prospect-chartercare" ] }, { "id": "c-ri-structure", "kind": "fact", "text": "The Rhode Island structure in 2021 was: Prospect East Holdings, Inc., a wholly owned PMH subsidiary, held PMH's interest in Prospect CharterCARE, LLC; Prospect East Hospital Advisory Services, LLC, also wholly owned, oversaw day-to-day management; and Prospect CharterCARE, LLC owned Prospect CharterCARE RWMC, LLC (Roger Williams Medical Center, Providence, licence HOSP00133) and Prospect CharterCARE SJHSRI, LLC (Our Lady of Fatima Hospital, North Providence, licence HOSP00132).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-010" ], "entity_ids": [ "prospect-east-holdings", "pmh", "pehas", "prospect-chartercare", "pcc-rwmc", "pcc-sjhsri" ] }, { "id": "c-ri-liebman", "kind": "fact", "text": "Jeffrey Liebman was chief executive officer of Prospect CharterCARE, LLC and its two hospital companies at the time of the 2020 application and in 2024; a 2024 provider registry entry lists Liebman as the authorised official of CharterCARE Our Lady of Fatima Hospital.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-010", "src-078" ], "entity_ids": [ "jeffrey-liebman", "prospect-chartercare", "fatima-npi" ] }, { "id": "c-ri-management-fee", "kind": "fact", "text": "As part of the 2014 joint venture, Prospect East, as managing member of Prospect CharterCARE, LLC, delegated day-to-day management of the Rhode Island hospitals to Prospect East Hospital Advisory Services under a management services agreement. The Attorney General found that PMH's average annual support to the hospitals beyond their own revenue was $14.7 million, which included a management fee averaging $6,977,000 a year, and made discontinuing the fee a condition of the 2021 transaction.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "prospect-east-holdings", "prospect-chartercare", "pehas", "pmh" ] }, { "id": "c-ri-management-fee-history", "kind": "fact", "text": "Prospect CharterCARE's audited income statements, as tabulated by the Attorney General's 2024 consultant, show management fee expense of $7.40 million in fiscal 2019, $6.53 million in fiscal 2020, $4.00 million in fiscal 2021 and none in fiscal 2022; in fiscal 2019 $24.7 million of accrued and unpaid management fees owed to PMH was forgiven and recorded as a non-cash equity contribution.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088", "src-003" ], "entity_ids": [ "prospect-chartercare", "pmh" ] }, { "id": "c-ri-cares-transfer", "kind": "fact", "text": "PYA reported that in fiscal 2020 Prospect CharterCARE received about $41 million of Provider Relief Fund distributions and about $27.5 million of Medicare advance (MAAP) funding and transferred the total of $68.5 million to PMH, which settled its prior balance owed to PMH and left a receivable from PMH on its balance sheet.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "prospect-chartercare", "pmh" ] }, { "id": "c-ri-hospital-transfers", "kind": "attributed", "text": "The Attorney General's consultant James P. Carris found that the fiscal-2020 audited statements of Our Lady of Fatima's operating company (SJHSRI) showed $21.6 million due from affiliates, a one-year change of $26.8 million, and those of Roger Williams Medical Center showed $31.3 million due from affiliates, a change of $57.1 million, about $35 million of it from pandemic relief funds, meaning PMH or its affiliates transferred those amounts out of the hospitals to fund other operations; Carris concluded that Prospect CharterCARE was not substantially viable without PMH's support.", "qualification": "Interpretation by the Attorney General's consultant of balance-sheet movements.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pcc-sjhsri", "pcc-rwmc", "pmh", "prospect-chartercare" ] }, { "id": "c-ri-sjhsri-results", "kind": "fact", "text": "Carris reported that the Fatima operating company's net revenue was flat at $141.2 million to $144.9 million from fiscal 2015 to 2019 with a cumulative five-year loss of $8.7 million, and that fiscal-2020 results included a $22.3 million legal settlement.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pcc-sjhsri" ] }, { "id": "c-ri-capex-monitor", "kind": "fact", "text": "An independent monitor, Affiliated Monitors Inc., concluded its review of the 2014 commitments in 2020, finding that Prospect had spent $63,815,932.22 on long-term capital expenditure and Prospect CharterCARE $51,398,707.77 on routine expenses over the four-year monitoring period.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "prospect-chartercare" ] }, { "id": "c-ri-pace", "kind": "fact", "text": "Roger Williams Medical Center and Our Lady of Fatima Hospital entered into Property Assessed Clean Energy (PACE) financing agreements totalling about $60 million, which attach to the properties as tax liens; the Roger Williams financing of about $42 million was agreed in May 2020 at 5.75% maturing April 30, 2045, with payments collected through property tax bills.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pcc-rwmc", "pcc-sjhsri", "prospect-chartercare" ] }, { "id": "c-ri-real-estate-ownership", "kind": "fact", "text": "An appraisal dated April 1, 2024 for the Attorney General's consultant identified Prospect CharterCARE, LLC as the fee-simple owner of the Rhode Island hospital real estate, including Our Lady of Fatima Hospital in North Providence and Roger Williams Medical Center in Providence, with no transactions involving those assets in the preceding three years; it valued the real property at a hypothetical $94 million and equipment at $27 million.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "prospect-chartercare", "pcc-rwmc", "pcc-sjhsri" ] }, { "id": "c-ri-pension-litigation", "kind": "fact", "text": "After the St. Joseph Health Services of Rhode Island retirement plan went into receivership (PC-2017-3865, R.I. Super. Ct.), litigation including fraud and misrepresentation claims was brought against PMH, Leonard Green and others over the handling of the pension, which Prospect had not assumed in the 2014 joint venture. PMH agreed to pay $27,250,000.", "qualification": "", "response": "PMH's settlement was made with no admission of liability.", "outcome": "On July 29, 2021 the U.S. District Court for the District of Rhode Island (C.A. No. 18-328 WES) granted final approval of the class settlement brought by plan receiver Stephen Del Sesto against PMH, Prospect East Holdings, Prospect CharterCARE and its two hospital companies and The Angell Pension Group; the gross settlement amount was $30,000,000, including $2,750,000 from a Rhode Island Superior Court deposit and two JPMorgan Chase letters of credit for $22,250,000 and $5,000,000, and class counsel was awarded $7,000,000.", "source_ids": [ "src-003", "src-071" ], "entity_ids": [ "pmh", "lgp", "prospect-east-holdings", "prospect-chartercare", "pcc-rwmc", "pcc-sjhsri", "jpmorgan", "samuel-lee", "david-topper", "chartercare-community-board" ], "adverse_subject_ids": [ "pmh", "lgp" ] }, { "id": "c-ri-pension-parties", "kind": "fact", "text": "The District of Rhode Island order approving the pension settlement also names Samuel Lee, David Topper and the liquidating receiver of CharterCARE Community Board as parties to the settlement; the class comprised more than 2,700 plan participants.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-071" ], "entity_ids": [ "samuel-lee", "david-topper", "chartercare-community-board", "pmh" ] }, { "id": "c-ri-nlrb-1st-cir", "kind": "fact", "text": "The Rhode Island Attorney General's 2021 decision notes litigation, NLRB v. Prospect CharterCARE, No. 19-2289 (1st Cir.), that arose when Prospect refused to provide an internal report on an operating-room equipment issue at Our Lady of Fatima Hospital.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "prospect-chartercare" ] }, { "id": "c-ri-quality-2021", "kind": "attributed", "text": "The 2021 decision states that CMS star ratings of the two hospitals had not improved since 2014, when both were rated 3, and that Our Lady of Fatima's rating had fallen to 2.", "qualification": "As stated in the Attorney General's decision.", "response": "The decision records that Prospect CharterCARE's management vigorously disputed these criticisms and asserted that the quality of care at the hospitals was high.", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pcc-rwmc", "pcc-sjhsri" ] }, { "id": "c-ri-ridoh-order-2023", "kind": "fact", "text": "On November 9, 2023 the Rhode Island Department of Health issued an Immediate Compliance Order to PMH and related entities after finding that Prospect's underfunding of Roger Williams and Fatima was affecting operations; in October 2023 at least 19 elective surgeries were cancelled because equipment and supplies were unavailable owing to non-payment of vendors. The department stated that PMH swept all patient revenue from the hospitals daily and returned an operating allowance weekly, and that as of October 24 more than 250 of about 830 vendors required cash on delivery.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-082" ], "entity_ids": [ "pmh", "pcc-rwmc", "pcc-sjhsri" ], "adverse_subject_ids": [ "pmh" ] }, { "id": "c-ri-ag-suit-2023", "kind": "fact", "text": "In November 2023 the Rhode Island Attorney General sued PMH (Neronha v. Prospect Medical Holdings, C.A. No. PC-2023-05832) for failing to comply with the 2021 conditions, including failure to pay accounts payable more than 90 days overdue, which then exceeded $24 million.", "qualification": "The Connecticut Attorney General's later draft complaint describes the overdue payables in the Rhode Island suit as more than $18.9 million.", "response": "", "outcome": "On June 12, 2024 Associate Justice Brian P. Stern of the Rhode Island Superior Court granted a preliminary injunction requiring Prospect to pay $17,326,526 toward the overdue accounts payable.", "source_ids": [ "src-088" ], "entity_ids": [ "pmh" ], "adverse_subject_ids": [ "pmh" ] }, { "id": "c-ri-centurion-agreement", "kind": "fact", "text": "On November 17, 2022 The Centurion Foundation, Inc. entered into an asset purchase agreement with PMH to buy the CharterCARE system, naming QHR Health, LLC as the manager of the facilities; PMH's chief restructuring officer described an $80 million price for the two Rhode Island hospitals. PMH had engaged the investment bank H2C, which began searching for a buyer in April 2021 and sent a request for proposals to 24 hospitals and health systems.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088", "src-002" ], "entity_ids": [ "centurion", "pmh", "h2c", "prospect-chartercare" ] }, { "id": "c-ri-centurion-profile", "kind": "attributed", "text": "The Attorney General's 2024 decision describes The Centurion Foundation as a Georgia-based 501(c)(3) corporation with no prior experience owning or operating an acute-care hospital, a private foundation of about three employees specialising in real estate finance, which initially planned to partner with QHR Health (Ovation Healthcare) and after QHR's exit planned to rely on CharterCARE's existing leadership, principally chief executive Jeffrey Liebman and the existing team; the Attorney General's consultant reported Centurion revenues of $15.6 million with a surplus of about $100,000 and more than $720 million of long-term bonds payable at June 2023.", "qualification": "Findings of the Attorney General and the Attorney General's consultant.", "response": "Asked at an October 22, 2024 meeting of the Rhode Island Health Services Council about Centurion's portfolio and prior experience, its president Benjamin Mingle said: “to be really transparent with you, we don’t have a case that was exactly like this...[b]ut we have all those elements.”", "outcome": "", "source_ids": [ "src-088", "src-037" ], "entity_ids": [ "centurion", "jeffrey-liebman" ] }, { "id": "c-ri-centurion-financing", "kind": "fact", "text": "The Attorney General found that Centurion planned a fully leveraged acquisition in which the new CharterCARE entities would borrow about $160 million, $80 million of which would remain on the new system's books with the rest paid to PMH as the purchase price; the applicants represented total transaction debt of $193 million if the PACE loans were assumed. Under the amended purchase agreement Centurion would pay PMH $80 million less a $5 million indemnity escrow, outstanding acquisition costs, a Centurion note, the outstanding PACE balance if assumed and a working capital adjustment.", "qualification": "", "response": "Asked what would happen if the new system could not take on more debt, Centurion answered that it could not predict the system's response but that the system would do its best to resolve any challenges by working with its counterparts in the state; the Attorney General read this as shifting the risk of failure to the State and its taxpayers.", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "centurion", "pmh" ] }, { "id": "c-ri-cim", "kind": "attributed", "text": "Veralon reported that the confidential information memorandum used by H2C to market the CharterCARE system contained financial statements that may have been misleading compared with actual performance, and that the historical data and testimony contradicted the notion of a history of profitability; it found that the system lost $9.6 million in fiscal 2019, $14.6 million in 2020, $16.8 million in 2021 and $29.3 million in 2022.", "qualification": "Assessment by the Attorney General's consultant.", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "h2c", "prospect-chartercare" ] }, { "id": "c-ri-vendor-control", "kind": "attributed", "text": "Veralon reported that CharterCARE depended on PMH funding to cover its operating shortfalls but that the funding was insufficient to meet vendor obligations, causing supply problems; that CharterCARE did not control its own accounts payable because PMH told it daily which vendors to pay and how much; and that CharterCARE's payables grew from $41 million at September 30, 2022 to $63 million a year later and about $69 million at March 31, 2024.", "qualification": "Based on testimony of CharterCARE management, including chief executive Jeffrey Liebman, and on the system's financial statements.", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "pmh", "prospect-chartercare", "jeffrey-liebman" ] }, { "id": "c-ri-cms-deficiencies", "kind": "fact", "text": "CMS issued statements of deficiencies to Roger Williams and Our Lady of Fatima for rescheduled surgeries and a lack of medical supplies that delayed procedures; a 2024 condition required the parties to fund repairs under CMS-approved plans of correction for deficiencies noted on form CMS-2567 issued on April 2, 2024.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "pcc-rwmc", "pcc-sjhsri" ] }, { "id": "c-ri-board-oversight", "kind": "attributed", "text": "The Rhode Island Attorney General found that the CharterCARE system board and the PMH board, as seller, failed to sufficiently interrogate the transaction and Centurion's ability to meet the hospitals' needs, particularly after QHR's exit, and identified a perceived conflict of interest for PMH board members charged with ensuring the sale; the Attorney General's consultant noted that on November 8, 2022 the PMH board considered the Centurion and QHR offer, with Von Crockett presenting, and that it was unclear how the board decided to proceed after QHR withdrew.", "qualification": "Findings in the Attorney General's 2024 decision; the board minutes cited are partly redacted.", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "pmh", "von-crockett", "centurion" ] }, { "id": "c-ri-approval-2024", "kind": "fact", "text": "On June 20, 2024 the Rhode Island Attorney General, Peter F. Neronha, conditionally approved the change of ownership of the system including Roger Williams Medical Center and Our Lady of Fatima Hospital from PMH to The Centurion Foundation under the Hospital Conversions Act, with 40 conditions; on November 14, 2024 the Attorney General issued an amended decision changing four of the forty conditions.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-025", "src-088" ], "entity_ids": [ "pmh", "centurion" ] }, { "id": "c-ri-hospital-fund", "kind": "fact", "text": "The 2024 conditions required the parties to fund a $66.8 million Hospital Fund, to include the roughly $45 million remaining in the 2021 escrows with accrued interest, which could be applied if Leonard Green and Prospect assigned their rights in those funds; any debts owed by Centurion or the new system to Prospect after closing had to take the form of an unsecured subordinated note; and before closing Prospect had to release all liens and guarantees over CharterCARE assets securing its May 23, 2023 loan and pledge agreements with MPT TRS Lender PMH, LLC.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "pmh", "lgp", "centurion", "mpt-trs-lender", "prospect-chartercare" ] }, { "id": "c-ri-sale-in-bankruptcy", "kind": "fact", "text": "On February 2, 2025 PMH announced an amended and restated asset purchase agreement to sell CharterCARE Health Partners, including Roger Williams Medical Center and Our Lady of Fatima, to The Centurion Foundation and other nonprofit corporations. On May 22, 2025 the bankruptcy court entered orders approving the assumption of the purchase agreement, the Rhode Island reorganisation and the sale free and clear of interests.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-030", "src-033" ], "entity_ids": [ "pmh", "centurion" ] }, { "id": "c-ri-relief-motion", "kind": "fact", "text": "On October 30, 2025 the debtors moved for relief from the Centurion sale order and for authority to transfer the Rhode Island hospitals to the State of Rhode Island or, alternatively, to close them.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-033" ], "entity_ids": [ "pmh", "centurion" ] }, { "id": "c-ri-closing-2026", "kind": "fact", "text": "On March 6, 2026 The Centurion Foundation completed the acquisition of Roger Williams Medical Center, Our Lady of Fatima Hospital and related assets from PMH, financed with $101 million of private bonds raised through Bank of America under the sponsorship of the Rhode Island Health and Education Building Corporation and an $18 million supplemental reserve fund created by the state; the hospitals passed to a new nonprofit, CharterCARE Health of Rhode Island, with Ben Mingle as chairman and Jeffrey Liebman as chief executive officer.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-026" ], "entity_ids": [ "centurion", "pmh", "chri", "bank-of-america", "jeffrey-liebman" ] }, { "id": "c-pa-acquisition", "kind": "fact", "text": "The Supreme Court of Pennsylvania records that on January 8, 2016 Prospect acquired Delaware County Memorial Hospital and other assets from Crozer-Keystone Health System (now CKHS, Inc.) under an asset purchase agreement whose recitals expressed an intent to keep providing key services to vulnerable populations. PMH's chief restructuring officer dates the acquisition of Crozer-Keystone Health System, Delaware County's largest employer and health care provider, to July 2016; Prospect CCMC LLC signed a recognition agreement with the nurses' union on June 16, 2016 and assumed operation of Crozer-Chester Medical Center on July 1, 2016.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-072", "src-070", "src-002" ], "entity_ids": [ "pmh", "prospect-crozer", "ckhs", "prospect-ccmc" ] }, { "id": "c-pa-closure-covenant", "kind": "attributed", "text": "Delaware County states that Prospect's 2016 purchase agreement for Crozer Health included a ten-year clause restricting hospital closures; the Commonwealth Court of Pennsylvania quotes Section 11.16 of the asset purchase agreement, under which the buyers may not sell or close any of the licensed hospitals for ten years after the effective time, subject to exceptions including a sale or closure required by a government entity.", "qualification": "The county's statement is a government press account; the agreement itself is not retained.", "response": "", "outcome": "", "source_ids": [ "src-021", "src-083" ], "entity_ids": [ "pmh", "prospect-crozer", "ckhs" ] }, { "id": "c-pa-foundation-arbitration", "kind": "attributed", "text": "A nonprofit research report stated that Prospect committed $56.6 million to establish the Crozer-Keystone Community Foundation but initially paid $32.9 million, and that in November 2017 an arbitrator ruled that Prospect still owed the foundation $23.7 million.", "qualification": "Reported by the research group; the arbitration award is not retained.", "response": "", "outcome": "", "source_ids": [ "src-040" ], "entity_ids": [ "pmh" ] }, { "id": "c-pa-nurses-third-circuit", "kind": "fact", "text": "On February 26, 2020 the U.S. Court of Appeals for the Third Circuit (Nos. 19-1439 and 19-1440) affirmed the refusal to vacate an arbitration award in favour of the Crozer-Chester nurses' union: Prospect CCMC, having assumed the predecessor's collective bargaining agreement, had to let nurses keep vacation time accrued above 200% of the annual limit.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-070" ], "entity_ids": [ "prospect-ccmc" ] }, { "id": "c-pa-dcmh-2022", "kind": "fact", "text": "On November 4, 2022 the Pennsylvania Department of Health ordered PMH and Prospect Crozer, LLC to suspend emergency services and banned admissions at Delaware County Memorial Hospital from November 7, 2022 because the hospital's failure to provide adequate diagnostic imaging was jeopardising patients' health and safety.", "qualification": "The Connecticut Attorney General's draft complaint describes the closure as the result of understaffing; the court record identifies inadequate diagnostic imaging services.", "response": "", "outcome": "", "source_ids": [ "src-083" ], "entity_ids": [ "pmh", "prospect-crozer", "prospect-dcmh" ], "adverse_subject_ids": [ "pmh", "prospect-crozer" ] }, { "id": "c-pa-senate-crozer", "kind": "attributed", "text": "The December 2023 Senate Budget Committee letter states that in 2022 PMH suspended all services at Delaware County Memorial Hospital, including the community's sole emergency room, that PMH said it wanted to convert the hospital into a 100-patient behavioral facility, that in March 2023 Crozer Health laid off 215 workers after reports that it could not pay vendors on time, and that following a lawsuit by the Pennsylvania Attorney General PMH agreed to sell its stake in Crozer Health.", "qualification": "Statements in a Senate committee letter.", "response": "According to the letter, PMH said it intended to convert the hospital into a 100-patient behavioral health facility.", "outcome": "", "source_ids": [ "src-005" ], "entity_ids": [ "pmh", "prospect-dcmh" ] }, { "id": "c-pa-ckhs-litigation", "kind": "fact", "text": "CKHS, Inc. and The Foundation for Delaware County sued PMH and Prospect Crozer, LLC to stop the conversion of Delaware County Memorial Hospital; the Delaware County Court of Common Pleas granted them a preliminary injunction on October 11, 2022, and the Pennsylvania Attorney General's office joined on their side. On May 3, 2023 the Commonwealth Court of Pennsylvania (No. 1118 C.D. 2022) granted PMH and Prospect Crozer's appeal and reversed the injunction.", "qualification": "", "response": "On appeal Prospect challenged the trial court's finding of irreparable harm.", "outcome": "On January 22, 2025 the Supreme Court of Pennsylvania (Nos. 117 and 118 MAP 2023) reversed the Commonwealth Court, holding that it had misapplied the standard of review and that the record contained apparently reasonable grounds for the trial court's injunction, and remanded for further proceedings.", "source_ids": [ "src-083", "src-072" ], "entity_ids": [ "ckhs", "pmh", "prospect-crozer", "prospect-dcmh" ], "adverse_subject_ids": [ "pmh", "prospect-crozer" ] }, { "id": "c-pa-ag-suit-2024", "kind": "attributed", "text": "On October 28, 2024 the Pennsylvania Attorney General's office sued PMH, Prospect Crozer, LLC, Leonard Green and Partners and two PMH directors, alleging mismanagement and neglect of Crozer Health and breaches of the purchase agreement, including cutting services, closing facilities and failing to fully fund pension accounts for Crozer Health retirees, and seeking the appointment of a receiver.", "qualification": "Allegations in the Attorney General's complaint as described by PMH's chief restructuring officer; the defendants' answer is not retained.", "response": "", "outcome": "On October 31, 2024 the case, naming Prospect Crozer, PMH, David Topper, Samuel Lee and Leonard Green and Partners as defendants, was removed to the U.S. District Court for the Eastern District of Pennsylvania (No. 2:2024cv05853); Leonard Green and, on November 25, 2024, Lee and Topper filed notices consenting to removal, and the Attorney General moved to remand. The retained docket, last retrieved on December 16, 2024, ends with a stipulated order setting January 9, 2025 for oppositions to the amended remand motion; no merits ruling appears in it. A January 31, 2025 motion in the bankruptcy seeking approval of a settlement among the debtors, the Attorney General, Lee and Topper, together with a sale of the Pennsylvania hospitals, was withdrawn by the debtors before April 21, 2025.", "source_ids": [ "src-002", "src-069", "src-080" ], "entity_ids": [ "pmh", "prospect-crozer", "lgp", "samuel-lee", "david-topper" ], "adverse_subject_ids": [ "pmh", "prospect-crozer", "lgp", "samuel-lee", "david-topper" ] }, { "id": "c-pa-9019-motion", "kind": "fact", "text": "On January 31, 2025 the debtors filed an emergency motion (Docket No. 332) to approve the private sale of the Pennsylvania hospitals free and clear of interests and a settlement among the debtors, the Pennsylvania Attorney General, Samuel Lee and David Topper under Bankruptcy Rule 9019.", "qualification": "", "response": "", "outcome": "The debtors withdrew the motion; in their April 21, 2025 closure and sale supplement they stated that no viable bidder, operator or funding source had emerged for the hospitals as a whole.", "source_ids": [ "src-080" ], "entity_ids": [ "pmh", "samuel-lee", "david-topper" ] }, { "id": "c-pa-closures-2025", "kind": "fact", "text": "On April 21, 2025 the debtors stated that, in the absence of any viable bidder, operator or third-party funding source, they had to begin closing the Pennsylvania hospitals while marketing ambulatory surgery and imaging sites and owned real estate. On April 23, 2025 the bankruptcy court approved the closure of certain Pennsylvania hospitals and sale procedures; on July 3, 2025 it approved the sale of the Pennsylvania ambulatory surgery and imaging sites, and on August 6, 2025 the abandonment of certain Pennsylvania hospitals and the sale of others.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-080", "src-033", "src-035" ], "entity_ids": [ "pmh", "prospect-crozer" ] }, { "id": "c-pa-county-account", "kind": "attributed", "text": "According to Delaware County, Crozer-Chester Medical Center closed on April 30, 2025 and Taylor Hospital on April 26, 2025; Taylor Hospital was bought by KQT Aikens Partners in September 2025, Delaware County Memorial Hospital by the Upper Darby School District in August 2025, and Crozer-Chester by Chariot Equities with Allaire Health Services in January 2026, while ChristianaCare bought Prospect's Crozer outpatient sites at auction in May 2025 and a first buyer of Springfield Hospital failed to close.", "qualification": "Status account published by the county government; it also describes Prospect's conduct as years of mismanagement and financial exploitation, which is the county's characterisation.", "response": "", "outcome": "", "source_ids": [ "src-021" ], "entity_ids": [ "pmh", "prospect-crozer", "kqt-aikens", "upper-darby-sd", "chariot", "christianacare" ] }, { "id": "c-pa-auction-2025", "kind": "fact", "text": "The debtors' October 13, 2025 notice reported that after an October 10, 2025 auction Chariot Allaire Partners LLC was the buyer of Crozer-Chester Medical Center for $10,000,000 and Restorative Health Foundation and Syan Investments the buyers of Springfield Hospital for $3,000,000; Medical Properties Trust, Inc. consented to both sales.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-035" ], "entity_ids": [ "prospect-crozer", "chariot", "mpt" ] }, { "id": "c-pa-dcmh-medicare", "kind": "fact", "text": "A litigation schedule filed with the plan supplement in the Chapter 11 case lists a case in the U.S. District Court for the Eastern District of Pennsylvania in which Prospect DCMH LLC, doing business as Delaware County Memorial Hospital, challenges the termination of the hospital's Medicare provider agreement by the Secretary of Health and Human Services.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079" ], "entity_ids": [ "prospect-dcmh", "hhs" ] }, { "id": "c-pa-pro-se-suit", "kind": "fact", "text": "On February 9, 2024 the U.S. District Court for the Eastern District of Pennsylvania (No. 2:24-cv-00494) dismissed a pro se complaint against PMH, Samuel Sang-Bum Lee, Leonard Green & Partners and others concerning a patient's death at Delaware County Memorial Hospital, for lack of a federal claim or established diversity jurisdiction, with leave to file an amended complaint.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-058" ], "entity_ids": [ "pmh", "samuel-lee", "lgp" ] }, { "id": "c-ct-acquisitions", "kind": "attributed", "text": "According to PMH's own website, Prospect acquired Waterbury Hospital (357 beds) in 2016 and Eastern Connecticut Health Network, with Manchester Memorial Hospital (249 beds) and Rockville General Hospital (102 beds), in October 2016; PMH's chief restructuring officer also refers to the Eastern Connecticut Health Network acquisition in October 2016, in which Prospect assumed that network's employee retirement plan.", "qualification": "Company self-description and the debtors' first-day declaration.", "response": "", "outcome": "", "source_ids": [ "src-039", "src-002" ], "entity_ids": [ "pmh", "prospect-echn", "prospect-waterbury" ] }, { "id": "c-ct-con-order", "kind": "attributed", "text": "The Rhode Island Attorney General's 2021 decision states that Prospect operated under a certificate-of-need settlement with the Connecticut Department of Public Health relating to its 2016 acquisition of the three Connecticut hospitals (dockets 15-32017-486 for Waterbury and one for Manchester Memorial and Rockville General) and that the department extended the consent order by 18 months because of clinical and quality concerns, to May 2021.", "qualification": "As described in the Attorney General's decision; the Connecticut orders themselves are not retained.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "prospect-waterbury", "prospect-manchester", "prospect-rockville" ] }, { "id": "c-ct-ohca-affiliates", "kind": "fact", "text": "In its annual affiliate report filed with Connecticut's Office of Health Care Access on March 9, 2017, Prospect ECHN, Inc. listed its two acute-care hospitals, Prospect Manchester Hospital, Inc. (doing business as The Manchester Memorial Hospital, Manchester) and Prospect Rockville Hospital, Inc. (doing business as The Rockville General Hospital, Vernon), and listed as affiliates Prospect CT Medical Foundation, Inc., which operates its physician practices, and Prospect ECHN Home Health, Inc. (Visiting Nurse and Health Services of Connecticut), its affiliated home-care provider; it identified Prospect CT, Inc. as the Connecticut parent of Prospect CT Medical Foundation, Inc.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-015" ], "entity_ids": [ "prospect-echn", "prospect-manchester", "prospect-rockville", "prospect-ct", "prospect-ct-medical-foundation", "prospect-echn-home-health" ] }, { "id": "c-ct-registry", "kind": "fact", "text": "Connecticut's business registry, in records retrieved in October 2026, lists Prospect Manchester Hospital, Inc. (account 1203094), Prospect Rockville Hospital, Inc. (1203096) and Prospect ECHN, Inc. (1203097), all registered on April 12, 2016, and Prospect Waterbury, Inc. (1202801), registered on April 8, 2016, as active Connecticut stock corporations classified as general hospitals, each with 3824 Hughes Ave., Culver City, California, PMH's address, as its business address.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-016", "src-017", "src-029", "src-028" ], "entity_ids": [ "prospect-manchester", "prospect-rockville", "prospect-echn", "prospect-waterbury", "pmh" ] }, { "id": "c-ct-lumia-testimony", "kind": "fact", "text": "In testimony to the Connecticut General Assembly's finance committee on March 15, 2019, Kimberly A. Lumia, Chief Regional Performance Officer for PMH, stated that PMH owned and operated Manchester Memorial, Rockville General and Waterbury hospitals, which together employed 5,111 people, paid $3,163,000 in state sales tax and $6,302,342 in property taxes and provided $45,749,468 in community benefit.", "qualification": "The provider-tax figure in the testimony is printed as \"$40,487,00\" and cannot be read reliably; these are the company's own statements.", "response": "", "outcome": "", "source_ids": [ "src-105" ], "entity_ids": [ "kim-lumia", "pmh" ] }, { "id": "c-ct-yale-agreement", "kind": "fact", "text": "On October 5, 2022 PMH and certain Connecticut affiliates agreed to sell the three Connecticut hospitals and related facilities to Yale New Haven Health Services Corporation for $435 million in cash, subject to adjustments.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "ynhh", "prospect-echn", "prospect-waterbury" ] }, { "id": "c-ct-yale-litigation", "kind": "fact", "text": "On May 3, 2024 Yale New Haven Health Services Corporation sued in Connecticut Superior Court (No. HHD-CV24-6184328-S) for a declaration that it was not obliged to close the purchase because Prospect had breached covenants and could not meet closing conditions; Prospect had applied for a prejudgment remedy against Yale. In July 2024 the parties stipulated, to expedite trial, that the base price would fall by at least $23.5 million and that Yale would keep at least $411.5 million in an account at Northern Trust.", "qualification": "Yale's account of its claims as set out in its bankruptcy filings.", "response": "PMH's chief restructuring officer described Yale's allegations of financial non-viability and material adverse change as a pretext to justify a price reduction, and stated that Yale breached the agreement and failed to close.", "outcome": "", "source_ids": [ "src-059", "src-002" ], "entity_ids": [ "ynhh", "pmh" ] }, { "id": "c-ct-yale-removal", "kind": "fact", "text": "On January 22, 2025 the Connecticut debtors removed Yale's suit to the U.S. District Court for the District of Connecticut (No. 3:25-cv-105-MPS) and asked for transfer to the Northern District of Texas; on July 22, 2025 the federal court granted Yale's abstention motion and remanded the case to the Connecticut Superior Court. In their counterclaims the debtors acknowledged that the City of Waterbury had filed liens against Waterbury Hospital and that there were publicly filed notices of liens on their assets.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-059" ], "entity_ids": [ "pmh", "ynhh", "prospect-waterbury" ] }, { "id": "c-ct-yale-assumption", "kind": "fact", "text": "In August 2025 PMH moved in the bankruptcy court to assume the asset purchase agreement with Yale New Haven Health Services Corporation, with objections due by September 11, 2025.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-033" ], "entity_ids": [ "pmh", "ynhh" ] }, { "id": "c-ct-echn-sale", "kind": "fact", "text": "The confirmed Chapter 11 plan defines the Connecticut ECHN assets as the assets of Eastern Connecticut Health Network, including Rockville General Hospital and Manchester Memorial Hospital, sold under an asset purchase agreement between PMH, Prospect CT, Prospect ECHN, Prospect Rockville Hospital, Prospect Manchester Hospital and Prospect CT Medical Foundation as sellers and ECHN Holdings, Inc. as purchaser. A December 31, 2025 transition services agreement identifies the buyer as Manchester Memorial Hospital, Inc., a Connecticut nonprofit corporation formerly known as ECHN Holdings, Inc., and the purchase agreement as dated September 12, 2025.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079" ], "entity_ids": [ "pmh", "prospect-ct", "prospect-echn", "prospect-rockville", "prospect-manchester", "prospect-ct-medical-foundation", "echn-holdings" ] }, { "id": "c-ct-waterbury-sale", "kind": "fact", "text": "On November 6, 2025 the debtors selected UCHCFC Waterbury Health Corp. as stalking-horse bidder for the Waterbury Hospital assets and signed an asset purchase agreement with it, with PMH as seller representative and Prospect Waterbury, Inc. among the sellers; no other qualified bids were received by the November 14, 2025 deadline. The final price was $13,000,000 in cash: $4,000,000 plus landlord deposits for the hospital's operating assets and $9,000,000 for the real estate sold by the Medical Properties Trust owner, under a master agreement of the same date among Prospect Waterbury, PMH, MPT of Waterbury PMH, LLC and MPT Operating Partnership, L.P.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-012" ], "entity_ids": [ "uchcfc-waterbury", "pmh", "prospect-waterbury", "mpt-waterbury", "mpt-op" ] }, { "id": "c-ct-waterbury-pension", "kind": "fact", "text": "Under the Waterbury sale agreement, liabilities under the Waterbury Hospital Cash Balance Plan and other benefit plans for which the Pension Benefit Guaranty Corporation is statutory trustee were excluded and did not pass to the buyer.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-012" ], "entity_ids": [ "prospect-waterbury", "uchcfc-waterbury" ] }, { "id": "c-ct-taxes-liens", "kind": "attributed", "text": "The Connecticut Attorney General states that PMH stopped paying the state's hospital tax in spring 2022 and that on December 18, 2023 the state filed tax liens on PMH for $67 million of unpaid taxes; that PMH reportedly owes the Pension Benefit Guaranty Corporation at least $4 million in missed pension contributions, for which it filed liens; and that PMH failed to pay Medical Properties Trust at least $56 million of accrued rent and interest. A December 2025 news report states that Connecticut's Department of Revenue Services claims $257 million in unpaid provider taxes from Prospect.", "qualification": "Statements in the Attorney General's draft complaint and a news report; the claims have not been adjudicated.", "response": "", "outcome": "", "source_ids": [ "src-081", "src-096" ], "entity_ids": [ "pmh", "mpt" ], "adverse_subject_ids": [ "pmh" ] }, { "id": "c-ct-ag-claim", "kind": "attributed", "text": "On July 9, 2025 the Connecticut Office of the Attorney General filed proof of claim no. 2592 in PMH's Chapter 11 case for unliquidated amounts, attaching a draft complaint by the State of Connecticut and Attorney General William Tong against PMH and Prospect Medical Systems, LLC in Hartford Superior Court; the draft pleads negligent misrepresentation to regulators in connection with the 2016 acquisition of the three hospitals, unjust enrichment, negligent performance of a special duty, violations of Connecticut's Safeguards Law and the Connecticut Unfair Trade Practices Act, and seeks restitution, disgorgement and civil penalties.", "qualification": "These are claims in a draft complaint attached to a proof of claim; they have not been adjudicated.", "response": "", "outcome": "No adjudication of the claim appears in the retained records; a December 2025 news report quotes the Attorney General's spokesperson as saying that the office was pursuing the claims asserted in the complaint, would add defendants if appropriate and that its investigation remained open.", "source_ids": [ "src-081", "src-096" ], "entity_ids": [ "pmh", "prospect-medical-systems-llc" ], "adverse_subject_ids": [ "pmh", "prospect-medical-systems-llc" ] }, { "id": "c-ct-ag-pms", "kind": "attributed", "text": "The Connecticut Attorney General's draft complaint describes Prospect Medical Systems, LLC as a Delaware limited liability company with its principal office at 600 City Parkway West, Orange, California, whose sole principal is PMH.", "qualification": "Description in the draft complaint; PHP Holdings' July 2025 bankruptcy filings describe Prospect Medical Systems, LLC as held through Prospect Intermediate Holdings, LLC under PHP Holdings.", "response": "", "outcome": "", "source_ids": [ "src-081" ], "entity_ids": [ "prospect-medical-systems-llc", "pmh" ] }, { "id": "c-ct-ag-cyber", "kind": "attributed", "text": "The Connecticut Attorney General's draft complaint states that on July 31, 2023 an unauthorised actor entered Prospect Medical's systems through a Citrix NetScaler vulnerability and on August 3, 2023 deployed Rhysida ransomware, compromising data of 212,369 Connecticut residents, and that the hospitals diverted ambulances.", "qualification": "Allegations in a draft complaint.", "response": "", "outcome": "", "source_ids": [ "src-081" ], "entity_ids": [ "pmh" ] }, { "id": "c-ct-vendor-suits", "kind": "attributed", "text": "The Connecticut Attorney General's draft complaint reports that in June 2022 North American Partners in Anesthesia (Connecticut), P.C., Waterbury Hospital's sole anesthesia provider, sued PMH's subsidiary for more than $3.2 million of unpaid services from October 2020 to October 2021, and that the Connecticut Hospital Association sued PMH for breach of contract over an unpaid balance of about $1.7 million for services provided from July 2021.", "qualification": "Claims described in the draft complaint; the outcomes of these suits are not in the retained records.", "response": "", "outcome": "", "source_ids": [ "src-081" ], "entity_ids": [ "napa-ct", "prospect-waterbury", "pmh", "cha" ] }, { "id": "c-ct-agiliti-default", "kind": "fact", "text": "Agiliti Health, Inc. sued Prospect Waterbury, Inc., doing business as Waterbury Hospital, in the U.S. District Court for the Central District of California in January 2024 (No. 2:2024cv00457) for breach of contract over unpaid invoices; after Prospect Waterbury did not respond, the clerk entered its default on February 27, 2024.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-075" ], "entity_ids": [ "agiliti", "prospect-waterbury" ], "adverse_subject_ids": [ "prospect-waterbury" ] }, { "id": "c-ct-rockville-covid", "kind": "attributed", "text": "A December 2025 news report, citing the Connecticut Attorney General's complaint, states that Prospect obtained at least $7.4 million in federal and $1.8 million in state COVID relief funds for Rockville General although no COVID patient was treated there as an inpatient, and that most of Rockville General's 102 licensed inpatient beds were shut by 2022.", "qualification": "Allegations reported from the Attorney General's draft complaint.", "response": "", "outcome": "", "source_ids": [ "src-096" ], "entity_ids": [ "prospect-rockville", "pmh" ] }, { "id": "c-ct-cash-transfers", "kind": "fact", "text": "The debtors' monthly operating report for July 2025, signed by chief restructuring officer Paul Rundell, shows net intercompany cash outflows of $15,337,609 from the Connecticut companies and $14,556,562 from PMH and corporate entities, and inflows of $20,582,033 to the Rhode Island companies, $5,936,013 to California, $1,900,000 to Pennsylvania and $1,476,126 to the physician companies; the consolidated bank cash balance fell from $74,537,820 to $64,258,605.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-097" ], "entity_ids": [ "pmh", "paul-rundell" ] }, { "id": "c-ct-cash-transfers-report", "kind": "attributed", "text": "A December 2025 news report, based on that operating report, states that from the January 2025 bankruptcy filing to the end of July 2025 a total of $58.7 million was drawn from Prospect's Connecticut operations as intercompany activity and that the Connecticut system's days of cash on hand fell to zero.", "qualification": "Calculation reported by the publication from the debtors' filings.", "response": "", "outcome": "", "source_ids": [ "src-096" ], "entity_ids": [ "pmh" ] }, { "id": "c-ca-hospitals-2025", "kind": "fact", "text": "At the January 2025 petition date PMH's chief restructuring officer listed 16 hospitals owned and operated by Prospect: in California, Los Angeles Community Hospital, Southern California Hospital at Van Nuys, Los Angeles Community Hospital at Norwalk, Southern California Hospital at Hollywood, Southern California Hospital at Culver City, Foothill Regional Medical Center in Tustin and Los Angeles Community Hospital at Bellflower; in Rhode Island, Roger Williams Medical Center and Our Lady of Fatima; in Connecticut, Rockville General, Manchester Memorial and Waterbury; and in Pennsylvania, Crozer-Chester Medical Center, Springfield, Taylor and Delaware County Memorial hospitals.", "qualification": "The declaration notes that Foothill Regional Medical Center is managed by, but not directly owned by, PMH.", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh" ] }, { "id": "c-ca-brotman-renamed", "kind": "attributed", "text": "PMH's website states that Brotman Medical Center became Southern California Hospital at Culver City, a 420-bed general acute care hospital, which later combined with two sister facilities to form Southern California Hospitals System, and that PMH acquired a hospital in Tustin in May 2014.", "qualification": "Company self-description.", "response": "", "outcome": "", "source_ids": [ "src-039" ], "entity_ids": [ "pmh", "brotman", "schs" ] }, { "id": "c-ca-ecapital", "kind": "fact", "text": "Southern California Healthcare System, Inc., Alta Los Angeles Hospitals, Inc. and Alta Hospitals System, LLC, as borrowers, had a $90 million revolving credit facility from eCapital Healthcare Corp. under a credit and security agreement entered into on June 5, 2024, secured by substantially all of the assets and equity of the California hospitals other than Foothill Regional Medical Center.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "schs", "alta-los-angeles", "alta-hospitals-system", "ecapital" ] }, { "id": "c-ca-pace", "kind": "fact", "text": "Alta Los Angeles Hospitals, Inc. and Southern California Healthcare System, Inc. entered into assessment contracts dated July 19, 2019 with the California Statewide Communities Development Authority for PACE financing; the August 2025 sale order treats the authority's lien on the Medical Properties Trust real estate as a permitted lien that survives the sale and requires the buyer to pay delinquent PACE instalments.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-034" ], "entity_ids": [ "alta-los-angeles", "schs", "cscda", "mpt" ] }, { "id": "c-ca-pharmacy-matter", "kind": "attributed", "text": "The Connecticut Attorney General's draft complaint, citing press reports, states that in 2015 CMS issued an \"Immediate Jeopardy\" finding against Southern California Hospital at Culver City; that a 2018 California inspection found its pharmacy staff had ignored contamination findings in sterile compounding equipment, leading to about 21,000 doses of \"adulterated dangerous drugs\" being dispensed over nine months; and that in September 2019 California's attorney general charged PMH executives, including Samuel Lee, the hospital and its supervising pharmacists with gross negligence and sought to revoke or suspend the hospital's pharmacy permit.", "qualification": "Allegations repeated in a draft complaint from press reports; the California accusation itself and its outcome are not in the retained records.", "response": "A 2020 investigative report states that Prospect asserted that “no patient harm occurred” from the “error”, which had been corrected, and that the pharmacy was “fully operational”.", "outcome": "The 2020 report described the matter as still pending; no later outcome appears in the retained records.", "source_ids": [ "src-081", "src-094" ], "entity_ids": [ "pmh", "samuel-lee", "schs" ], "adverse_subject_ids": [ "schs" ] }, { "id": "c-ca-nor-stalking-horse", "kind": "fact", "text": "On August 3, 2025 the debtors selected NOR Healthcare Systems Corp., a wholly owned subsidiary of Healthcare Systems of America, as stalking-horse bidder for the California assets and signed an asset purchase agreement; the consideration was the assumption of liabilities plus cash equal to the borrowing base under the eCapital credit line, or the difference after the eCapital debt was repaid or assumed. The debtors' notice stated that NOR had no connections to the debtors other than those arising from its stalking-horse bid.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-023" ], "entity_ids": [ "pmh", "nor", "hsa", "ecapital" ] }, { "id": "c-ca-nor-press", "kind": "attributed", "text": "An August 12, 2025 trade-press report stated that NOR Healthcare Systems Corp. had been registered in Nevada three months earlier and named as a director Michael Sarian, who served as senior vice president of Prospect's hospital operations from 2005 to 2012; six California hospitals were offered: Bellflower Behavioral Health Hospital, Los Angeles Community Hospital, Norwalk Community Hospital, Southern California Hospital at Culver City, Southern California Hospital at Hollywood and Van Nuys Behavioral Health Hospital.", "qualification": "As reported by the publication from the company's business registration.", "response": "The publication reported that Prospect did not respond to requests for comment about possible sale terms and that HSA, Prospect, MPT and NOR did not respond to requests for comment on the article.", "outcome": "", "source_ids": [ "src-022" ], "entity_ids": [ "nor", "michael-sarian", "pmh" ] }, { "id": "c-ca-nor-apa", "kind": "fact", "text": "The California asset purchase agreement dated August 3, 2025 names NOR Healthcare Systems Corp., a Nevada corporation, as purchaser and PMH as seller parent and seller representative for the Schedule A sellers, Alta Hospitals System, LLC, Southern California Healthcare System, Inc. (Southern California Hospital at Hollywood, Van Nuys and Culver City), Alta Los Angeles Hospitals, Inc. (Los Angeles Community Hospital, Norwalk and Bellflower) and Coordinated Regional Care Group, LLC; it was signed for PMH by chief restructuring officer Paul Rundell and defines the sellers' knowledge as that of Von Crockett and Alfredo Sabillo.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-034" ], "entity_ids": [ "nor", "pmh", "alta-hospitals-system", "schs", "alta-los-angeles", "crcg", "paul-rundell", "von-crockett", "alfredo-sabillo" ] }, { "id": "c-ca-nor-buyer-contacts", "kind": "fact", "text": "The agreement directs notices to the purchaser at 505 North Brand Blvd, Glendale, California, for the attention of Faisal Gill, and records a confidentiality agreement dated February 18, 2025 between PMH and Healthcare Systems of America.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-034" ], "entity_ids": [ "nor", "faisal-gill", "pmh", "hsa" ] }, { "id": "c-ca-sale-order", "kind": "fact", "text": "On August 29, 2025 the U.S. Bankruptcy Court for the Northern District of Texas approved the sale of the California assets free and clear of interests to NOR Healthcare Systems Corp. as the highest offer after an August 28, 2025 hearing; the consideration comprised the assumed liabilities, cash equal to the eCapital borrowing base (or the eCapital payoff alternative) and an additional $8.5 million in cash. The court found that the purchaser acted in good faith without collusion and was not an insider or affiliate of the debtors.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-034" ], "entity_ids": [ "pmh", "nor", "ecapital" ] }, { "id": "c-ca-sale-terms", "kind": "fact", "text": "Under the NOR agreement the parties were to file a Hart-Scott-Rodino notification and a material-transaction notice with California's Office of Health Care Affordability; at closing NOR was to receive a new lease of the Medical Properties Trust real estate and enter an interim lease-back and an interim management agreement under which it would manage the hospitals until licences were transferred. The California hospitals' Medicare advance repayment obligations listed in the sale order totalled $17,493,666.81.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-034" ], "entity_ids": [ "nor", "mpt", "pmh", "schs", "alta-los-angeles" ] }, { "id": "c-ca-ftc-notice", "kind": "fact", "text": "A U.S. Federal Trade Commission early-termination notice dated September 29, 2025 (transaction 20251865) names Mike Sarian as the acquiring party and Sang Bum (Samuel) Lee as the acquired party, with Alta Hospitals System, LLC, Southern California Healthcare System, Inc. and Alta Los Angeles Hospitals, Inc. as the acquired entities.", "qualification": "Under the FTC's listing format the acquired party is the ultimate parent entity of the companies sold; the notice does not describe ownership percentages.", "response": "", "outcome": "", "source_ids": [ "src-049" ], "entity_ids": [ "michael-sarian", "samuel-lee", "alta-hospitals-system", "schs", "alta-los-angeles" ] }, { "id": "c-ca-sarian-profile", "kind": "attributed", "text": "Healthcare Systems of America's website describes Michael Sarian as its chairman and chief executive, previously President of Hospital Operations at Prime Healthcare Management, and as having been chief executive officer and vice president of finance of organisations including Prospect/Alta Hospital System Inc.", "qualification": "Company self-description.", "response": "", "outcome": "", "source_ids": [ "src-061" ], "entity_ids": [ "michael-sarian", "hsa", "prime", "alta-hospitals-system" ] }, { "id": "c-ca-prime-erisa", "kind": "fact", "text": "Findings of fact in In re Prime Healthcare ERISA Litigation (C.D. Cal., No. 8:20-cv-1529) list members of Prime Healthcare's 401(k) plan committee including Mike Heather, Prime's chief financial officer, from 2013 to 2020, Heather's successor as chief financial officer Steve Aleman, and Mike Sarian, Prime's President of Hospital Operations, from 2012 to 2020; after a bench trial from April 9 to April 16, 2024 the court concluded that the defendants had used a prudent process in managing the plan.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-098" ], "entity_ids": [ "mike-heather", "michael-sarian", "prime" ] }, { "id": "c-ca-beverly", "kind": "fact", "text": "In a July 5, 2023 stipulation with California's Attorney General in the bankruptcy of Beverly Community Hospital Association (C.D. Cal., No. 2:23-bk-12359-SK), Michael Sarian signed as chairman and chief executive of American Healthcare Systems Foundation Inc., a North Carolina nonprofit selected as the winning bidder for the Montebello hospital's assets, and Faisal Gill signed as its counsel.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-087" ], "entity_ids": [ "michael-sarian", "ahsf", "faisal-gill" ] }, { "id": "c-ca-sarian-dispute", "kind": "attributed", "text": "A June 2026 trade-press report describes Mike Sarian as founder and majority owner of multiple hospital companies and a legal battle involving governance disputes at Healthcare Systems of America, American Healthcare Systems and NOR Healthcare Systems. It states that Healthcare Systems of America and five affiliated Florida hospitals sued Mike Sarian in Miami-Dade County Circuit Court on June 11, 2026, alleging that Sarian diverted at least $14 million from HSA corporate accounts between September 2024 and January 2026 to personal accounts, the Sarian Family Trust and related entities; that other filings allege Illinois supplemental hospital funding was redirected, including toward a proposed acquisition of PMH's California hospitals; and that Faisal Gill and Aramais Paronyan, MD removed Sarian from leadership roles at HSA and NOR Healthcare Systems.", "qualification": "Allegations in pending lawsuits as reported by the publication, which states that they have not been proven in court and that no court has made findings on the merits.", "response": "Sarian strongly disputes the allegations, said that moving funds among hospitals was normal cash management and denied taking money improperly, and Sarian's lawyers filed an amended complaint in California on June 23, 2026 alleging that Gill and Paronyan unlawfully sought to seize control of Sarian's businesses.", "outcome": "", "source_ids": [ "src-051" ], "entity_ids": [ "michael-sarian", "hsa", "nor", "faisal-gill", "pmh", "ahs-inc" ], "adverse_subject_ids": [ "michael-sarian" ] }, { "id": "c-phy-nominee-structure", "kind": "fact", "text": "PMH's affiliated California medical groups were held through nominee physician shareholders. Jacob Terner resigned as nominee shareholder, officer and director of Prospect Medical Group effective August 8, 2008 and was replaced by Osmundo R. Saguil, M.D.; from November 26, 2008 Arthur Lipper, M.D. replaced Dr. Saguil and was also appointed a vice president of PMH and of each of its direct and indirect subsidiaries other than Alta. At that time Dr. Lipper had for several years been a director of Nuestra Familia Medical Group and medical director of Prospect Health Source Medical Group, both affiliated physician organizations. The same report states that under an assignable option agreement among Prospect Medical Systems, Prospect Medical Group and the nominee shareholder, Prospect Medical Systems could change the owner of Prospect Medical Group at any time, and that Prospect Medical Group owned 55% of Nuestra Familia Medical Group.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-031" ], "entity_ids": [ "jacob-terner", "pmg", "osmundo-saguil", "arthur-lipper", "pmh", "nuestra-familia", "phsmg", "pms-inc" ] }, { "id": "c-phy-lipper-purchase", "kind": "fact", "text": "Under a stock purchase agreement of November 26, 2008 among Arthur Lipper, M.D. as buyer, Osmundo R. Saguil, M.D. as seller, Prospect Medical Group, Inc. (a California professional corporation) and Prospect Medical Systems, Inc., Dr. Lipper acquired the 4,000 shares representing 100% of Prospect Medical Group; a related option agreement of the same date gave Prospect Medical Group an assignable option over the shares of Nuestra Familia Medical Group, Inc. held of record by Dr. Lipper.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-046", "src-056" ], "entity_ids": [ "arthur-lipper", "osmundo-saguil", "pmg", "pms-inc", "nuestra-familia" ] }, { "id": "c-phy-lipper-roles-2010", "kind": "fact", "text": "PMH's fiscal-2010 annual report states that Dr. Arthur Lipper served as nominee shareholder of Prospect Medical Group and Nuestra Familia Medical Group, as sole director of Prospect Medical Group and its subsidiary physician organizations and as their chief executive officer, president and treasurer (except the ProMed Entities), as one of two directors of Nuestra and as sole director of the ProMed Entities.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "arthur-lipper", "pmg", "nuestra-familia", "promed-hsc" ] }, { "id": "c-phy-consolidation", "kind": "fact", "text": "PMH's March 2011 quarterly report states that all the affiliated medical groups were wholly owned by Prospect Medical Group except Nuestra, 62% owned by a nominee physician shareholder under an assignable option agreement, and AMVI/Prospect, a 50/50 joint venture between AMVI Care Health Network, Inc. and a Prospect medical group; Prospect Medical Group itself was owned by the same nominee under a separate assignable option agreement. The report names that nominee as Dr. Arthur Lipper and lists Prospect Medical Group as sole shareholder of the other affiliates, including Prospect Health Source Medical Group, Inc., Prospect NWOC Medical Group, Inc. and Upland Medical Group.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-041" ], "entity_ids": [ "pmg", "nuestra-familia", "amvi", "arthur-lipper", "phsmg", "prospect-nwoc", "upland" ] }, { "id": "c-phy-pms-services", "kind": "fact", "text": "Prospect Medical Systems, Inc. administered claims payments under a risk-sharing arrangement between Prospect Medical Group and Brotman under an administrative services agreement dated October 1, 2005, amended October 1, 2009; the fees were eliminated in consolidation.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pms-inc", "brotman", "pmg" ] }, { "id": "c-phy-nwoc-registry", "kind": "fact", "text": "A provider registry entry created on April 2, 2007 and last updated on July 31, 2008 lists Prospect Northwest Orange County Medical Group Inc. with Catherine S. Dickson as chief executive officer and authorised official.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-074" ], "entity_ids": [ "prospect-nwoc", "catherine-dickson" ] }, { "id": "c-phy-prasad-entities", "kind": "fact", "text": "PMH disclosed that its affiliated medical groups paid the \"Prasad Entities\", controlled by director and Ivy Holdings shareholder Dr. Jeereddi A. Prasad and including Chaparral Medical Group, Inc., about $12,001,000 in fiscal 2008, $12,267,000 in fiscal 2009 and $14,254,000 in fiscal 2010; its March 2011 quarterly report states that the ProMed Entities paid a physician group in which one of their officers held an interest about $3.7 million and $7.3 million in the three and six months to March 31, 2011.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041" ], "entity_ids": [ "jeereddi-prasad", "chaparral", "pmh", "promed-hsc" ] }, { "id": "c-phy-chaparral-creditor", "kind": "fact", "text": "Chaparral Medical Group Inc., Dr. Prasad's practice in Pomona, appears among the largest unsecured creditors of PHP Holdings and the other physician debtors in July 2025, with a trade payable of $94,513.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-092", "src-001" ], "entity_ids": [ "chaparral", "php-holdings", "jeereddi-prasad" ] }, { "id": "c-phy-split", "kind": "fact", "text": "PMH's chief restructuring officer describes the group as more than 100 entities divided into HospitalCo, PMH and its hospital subsidiaries, and PhysicianCo, PHP Holdings and its subsidiaries, which were not debtors in January 2025. PMH owned 51% of PHP Holdings, and Prospect Healthcare Facilities Management, LLC, a wholly owned PMH subsidiary, was the member-manager of PHP Holdings and the manager of Foothill Regional Medical Center.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "php-holdings", "phfm" ] }, { "id": "c-phy-related-party", "kind": "fact", "text": "PMH sponsored PhysicianCo employees' benefit plans, provided PHP Holdings with services under enterprise and vendor agreements and administrative services under a support services agreement, and certain PMH employees held transaction bonus agreements triggered by a change of control of PhysicianCo.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "php-holdings" ] }, { "id": "c-phy-phfm-board", "kind": "fact", "text": "On July 7, 2025 the board of managers of Prospect Healthcare Facilities Management, LLC, acting for itself and as manager of PHP Holdings, the sole member of Prospect Intermediate Holdings, LLC (itself sole member of Prospect Medical Systems, LLC and other physician companies), comprised Samuel S. Lee, Mitchell Lew, M.D., Von Crockett, Elizabeth Abrams, Alan Carr and Sherman Edmiston.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-092" ], "entity_ids": [ "phfm", "php-holdings", "prospect-medical-systems-llc", "samuel-lee", "mitchell-lew", "von-crockett", "elizabeth-abrams", "alan-carr", "sherman-edmiston" ] }, { "id": "c-phy-medical-group-board", "kind": "fact", "text": "The July 7, 2025 bankruptcy resolutions of Prospect Medical Group, Inc., Nuestra Familia Medical Group, Inc., Prospect NWOC Medical Group, Inc., Upland Medical Group and other California medical groups were signed by Mitchell Lew, M.D. as their board of directors; Prospect Medical Group, as shareholder of Prospect Health Source Medical Group, Inc., acted through Von Crockett as senior vice president.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-092" ], "entity_ids": [ "mitchell-lew", "pmg", "nuestra-familia", "prospect-nwoc", "upland", "von-crockett", "phsmg" ] }, { "id": "c-phy-2023-structure", "kind": "fact", "text": "PHP Holdings' July 2025 Chapter 11 petition lists its equity holders as PMH (51%) and MPT Picasso Investors TRS, LLC (49%) of Birmingham, Alabama.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-092" ], "entity_ids": [ "php-holdings", "pmh", "mpt-picasso" ] }, { "id": "c-phy-astrana-agreement", "kind": "fact", "text": "Prospect signed an asset and equity purchase agreement dated November 8, 2024 with Astrana Health, Inc. for the PhysicianCo business, for about $745 million in consideration before adjustments.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-020" ], "entity_ids": [ "astrana", "php-holdings", "pmh" ] }, { "id": "c-phy-astrana-closing", "kind": "fact", "text": "Astrana Health reported that on July 1, 2025 it completed the purchase of all equity of Prospect Health Plan, Inc. and Alta Newport Hospital, LLC (doing business as Foothill Regional Medical Center) and substantially all assets of certain subsidiaries of PHP Holdings, LLC under the November 8, 2024 agreement, with PHP Holdings, PHS Holdings, LLC, Prospect Intermediate Holdings, LLC, Prospect Provider Group RI, LLC and others as sellers and PMH as seller representative.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-020" ], "entity_ids": [ "astrana", "prospect-health-plan", "alta-newport-llc", "php-holdings", "pmh" ] }, { "id": "c-phy-astrana-side-letter", "kind": "fact", "text": "Under a July 1, 2025 side letter addressed to PMH as seller representative, Astrana retained $35,500,000 as a buyer credit deducted from the purchase price instead of funding an escrow, and the closing payment was reduced by $1,000,000 for the buyer's legal costs relating to PMH's insolvency; Von Crockett signed for PHP Holdings, through its manager Prospect Healthcare Facilities Management, and for the other seller companies as senior vice president.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-027" ], "entity_ids": [ "astrana", "pmh", "von-crockett", "php-holdings", "phfm", "prospect-medical-systems-llc" ] }, { "id": "c-phy-physician-chapter11", "kind": "fact", "text": "On July 7, 2025 the physician companies not sold to Astrana filed Chapter 11 petitions to wind down, including PHP Holdings, LLC (No. 25-80157), Prospect Intermediate Holdings, ProMed Health Care Administrators (25-80161), Prospect Medical Systems, LLC (25-80162), Prospect Medical Group, Inc. (25-80170), Nuestra Familia Medical Group, Inc. (25-80179), Upland Medical Group (25-80174), Prospect NWOC Medical Group, Inc. (25-80176) and Prospect Health Source Medical Group, Inc. (25-80181).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-030", "src-036", "src-066" ], "entity_ids": [ "php-holdings", "promed-hca", "prospect-medical-systems-llc", "pmg", "nuestra-familia", "upland", "prospect-nwoc", "phsmg", "pmh" ], "adverse_subject_ids": [ "php-holdings" ] }, { "id": "c-ch11-filing", "kind": "fact", "text": "Beginning on January 11, 2025 PMH and affiliated debtors filed voluntary Chapter 11 cases in the U.S. Bankruptcy Court for the Northern District of Texas, jointly administered under PMH's case, In re Prospect Medical Holdings, Inc., No. 25-80002 (SGJ); the hospital debtors filed on January 11, 2025, the physician debtors on July 7, 2025 and the top-level holding debtors on September 19, 2025.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-035" ], "entity_ids": [ "pmh" ], "adverse_subject_ids": [ "pmh" ] }, { "id": "c-ch11-debtors", "kind": "fact", "text": "The hospital debtors' petitions list affiliated companies filing with PMH, including Alta Hospitals System, LLC (No. 25-80007), Prospect East Holdings, Inc. (25-80005), Hospital Advisory Services, Inc. (25-80006), Prospect CT, Inc. (25-80009), Prospect CharterCARE, LLC (25-80024), Alta Los Angeles Hospitals, Inc. (25-80025), Southern California Healthcare System, Inc. (25-80026), Prospect Oldco NJ, Inc. (25-80027), Prospect Crozer, LLC (25-80028), Prospect Waterbury, Inc. (25-80038), Prospect ECHN, Inc. (25-80041), Prospect CharterCARE RWMC, LLC (25-80050), Prospect CharterCARE SJHSRI, LLC (25-80051), Prospect CCMC, LLC (25-80054), Prospect DCMH, LLC (25-80055), Prospect Rockville Hospital, Inc. (25-80064) and Prospect Manchester Hospital, Inc. (25-80065), as well as Coordinated Regional Care Group, LLC (25-80003) and Prospect East Hospital Advisory Services, LLC (25-80004).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-033", "src-006" ], "entity_ids": [ "pmh", "alta-hospitals-system", "prospect-east-holdings", "has-inc", "prospect-ct", "prospect-chartercare", "alta-los-angeles", "schs", "prospect-oldco-nj", "prospect-crozer", "prospect-waterbury", "prospect-echn", "pcc-rwmc", "pcc-sjhsri", "prospect-ccmc", "prospect-dcmh", "prospect-rockville", "prospect-manchester", "crcg", "pehas" ] }, { "id": "c-ch11-topco", "kind": "fact", "text": "PMH's parent companies also became debtors in the same case as the \"TopCo\" debtors: Chamber Inc. (No. 25-33651), Ivy Holdings Inc. (25-80482) and Ivy Intermediate Holding Inc. (25-80483).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-036" ], "entity_ids": [ "chamber", "ivy-holdings", "ivy-intermediate", "pmh" ] }, { "id": "c-ch11-cro", "kind": "fact", "text": "Paul Rundell, a managing director of Alvarez & Marsal North America, LLC, has been chief restructuring officer of PMH and the other debtors since January 11, 2025; Alvarez & Marsal is the debtors' financial adviser. The Rhode Island Attorney General's 2024 consultant had noted that PMH recently engaged Alvarez & Marsal to identify and implement revenue-cycle improvements.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-088" ], "entity_ids": [ "paul-rundell", "alvarez-marsal", "pmh" ] }, { "id": "c-ch11-board", "kind": "fact", "text": "At the petition date PMH's board had six directors: Samuel Lee, Von Crockett, David Topper, Mitchell Lew and the independent directors Alan Carr and Jeremy Rosenthal. On October 4, 2024 PMH had created a special committee and appointed Alan Carr and Elizabeth Abrams as independent directors.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "samuel-lee", "von-crockett", "david-topper", "mitchell-lew", "alan-carr", "jeremy-rosenthal", "elizabeth-abrams" ] }, { "id": "c-ch11-workforce", "kind": "attributed", "text": "PMH's chief restructuring officer stated that at the petition date the debtors had about 12,500 employees and estimated employee-related obligations of $229.6 million, including $112.6 million of benefits of which $47.8 million were retirement benefits, and that the debtors estimated they owed nearly $48 million in underfunded 401(k) matching contributions, which they described as an ERISA violation.", "qualification": "Estimates in the debtors' first-day declaration.", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh" ] }, { "id": "c-ch11-cash-management", "kind": "fact", "text": "The debtors' cash management system comprised 194 bank accounts at eight banks with about $3.35 million of cash at the petition date; receivables from the facilities were collected into a master account and PMH paid payroll and vendors on behalf of other debtors, creating intercompany receivables and payables among debtors and non-debtor affiliates.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh" ] }, { "id": "c-ch11-dip", "kind": "fact", "text": "At the outset of the case JMB Capital Partners Lending, LLC committed to provide $100.0 million of new-money debtor-in-possession financing.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "jmb", "pmh" ] }, { "id": "c-ch11-transaction-committee", "kind": "fact", "text": "On January 20, 2025 PMH formed a Transaction Committee whose voting members were independent directors Alan Carr and Jeremy Rosenthal (chair) and chief executive Von Crockett, with chief restructuring officer Paul Rundell and general counsel Frank Saidara as advisory members. Jeremy Rosenthal is a partner of Force 10 Partners, a restructuring advisory firm.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-068" ], "entity_ids": [ "pmh", "alan-carr", "jeremy-rosenthal", "von-crockett", "paul-rundell", "frank-saidara", "force10" ] }, { "id": "c-ch11-insider-transfers", "kind": "fact", "text": "In a December 11, 2025 declaration, Transaction Committee chair Jeremy Rosenthal stated that an investigation with counsel from Katten examined transactions from 2018 to 2021 in which PMH transferred about $203.6 million in total to certain current directors and officers or entities they control; the committee concluded that the debtors have viable claims relating to some of these transfers, and that $199.4 million of the $203.6 million went to David Topper and Samuel Lee, who were therefore excluded from the plan's releases.", "qualification": "This is the committee's conclusion that claims are viable, not a court finding; no judgment on these claims appears in the retained records.", "response": "", "outcome": "", "source_ids": [ "src-068" ], "entity_ids": [ "pmh", "jeremy-rosenthal", "david-topper", "samuel-lee" ], "adverse_subject_ids": [ "david-topper", "samuel-lee" ] }, { "id": "c-ch11-non-released", "kind": "fact", "text": "The plan's Non-Released Parties Schedule, filed on October 1, 2025, provides that persons including Samuel S. Lee, David Topper, the David & Alexa Topper Family Trust, Leonard Green & Partners, Green Equity Investors V, L.P., Green Equity Investors Side V, L.P., Ivy LGP Co-Invest LLC, the former Leonard Green directors Alyse M. Wagner, Michael Solomon and John Baumer, and former executives including Mike Heather, Jeereddi Prasad, Mark Johnson, Michael Sarian, Donna Vigil and George D. Pillari are not released parties; the debtors reserved the right to modify the schedule.", "qualification": "Exclusion from the plan's releases preserves possible estate claims; it is not a finding of liability.", "response": "Leonard Green and its affiliates did not respond to a December 2025 newspaper request for comment on the non-released designation.", "outcome": "A December 2025 newspaper report states that at a hearing that month Judge Stacey Jernigan noted that Leonard Green, Samuel Lee and David Topper had been named non-released parties, and that an attorney for the trust managing Prospect's assets said people would have causes of action brought and the trust would work to bring as much money back in when the time was right; no such suit appears in the retained records.", "source_ids": [ "src-093", "src-096" ], "entity_ids": [ "samuel-lee", "david-topper", "topper-trust", "lgp", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "alyse-wagner", "michael-solomon", "john-baumer", "mike-heather", "jeereddi-prasad", "mark-johnson", "michael-sarian", "donna-vigil", "george-pillari", "pmh" ] }, { "id": "c-ch11-estate-claims", "kind": "fact", "text": "Under the plan supplement, estate causes of action against parties on the Non-Released Parties Schedule, including avoidance actions and claims for breach of fiduciary duty, aiding and abetting, unlawful dividends and unjust enrichment, pass to the GUC Trust.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079" ], "entity_ids": [ "guc-trust", "pmh" ] }, { "id": "c-ch11-litigation-funding", "kind": "attributed", "text": "An April 2026 investigative report states that the bankruptcy court approved $10 million to pursue claims against former Prospect principals, with Leonard Green, Samuel Lee and David Topper as the main targets, and quotes the unsecured creditors' committee counsel, Charles Persons, telling the court at a December 12 hearing that potentially hundreds of millions of dollars could be recovered; it also reports that the bankruptcy automatically stayed more than 300 lawsuits seeking more than $800 million in damages.", "qualification": "Reported by the publication; the court order approving the funding is not among the retained records.", "response": "The report states that Leonard Green declined to respond to its questions, that Samuel Lee could not be reached for comment and that David Topper answered “no comment”.", "outcome": "", "source_ids": [ "src-089" ], "entity_ids": [ "pmh", "lgp", "samuel-lee", "david-topper" ] }, { "id": "c-ch11-insider-payments", "kind": "fact", "text": "In their monthly operating report for July 2025, filed on November 10, 2025, the debtors stated that all post-petition payments by the hospital and physician debtors to insiders were limited to ordinary-course wages and benefits.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-097" ], "entity_ids": [ "pmh" ] }, { "id": "c-ch11-plan-path", "kind": "fact", "text": "The debtors filed their first plan and disclosure statement on May 23, 2025; the United States Trustee objected to the disclosure statement on June 18, 2025. A joint plan was filed on August 27, 2025 (Docket No. 2986) and on August 28, 2025 the court approved the disclosure statement and set a confirmation hearing for October 14, 2025, later adjourned; after further amendments the court entered an order confirming the Amended Joint Chapter 11 Plan on December 15, 2025.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-066", "src-012" ], "entity_ids": [ "pmh", "us-trustee" ] }, { "id": "c-ch11-effective", "kind": "fact", "text": "On March 6, 2026 the debtors gave notice that the Second Amended Joint Chapter 11 Plan had become effective; the notice states that the court approved the plan's release, exculpation and injunction provisions and that the plan binds the debtors, the plan administrator, the GUC Trust and its trustee and all holders of claims and interests.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-066", "src-067" ], "entity_ids": [ "pmh", "guc-trust" ] }, { "id": "c-ch11-guc-trust", "kind": "fact", "text": "Under a GUC Trust agreement dated March 6, 2026 the debtors created the Prospect GUC Trust, sited in New York, to collect, administer and distribute trust assets, including assigned estate causes of action, for the backstop lender and general unsecured creditors; Steven Balasiano, founder of MHR Advisory Group, was appointed trustee, with Kelley Drye & Warren LLP as counsel.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079" ], "entity_ids": [ "guc-trust", "steven-balasiano", "pmh", "mhr" ] }, { "id": "c-ch11-plan-administrator", "kind": "fact", "text": "Under a plan administrator agreement dated March 5, 2026, Saidara Group, Inc., a California corporation, acting through Frank Saidara, was appointed plan administrator for PMH and its debtor affiliates at $72,500 a month; the plan supplement states that no insider of the debtors was expected to be employed by the plan administrator.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079" ], "entity_ids": [ "saidara-group", "frank-saidara", "pmh" ] }, { "id": "c-ch11-retained-suits", "kind": "fact", "text": "A schedule to the exit financing lists suits brought by PMH that continue after the plan: Prospect Medical Holdings, Inc. v. EOH Real Estate Holdings, Inc. in the New Jersey Superior Court (Essex County, ESX-L-02160-23), alleging breach of the implied covenant and seeking to pierce the corporate veil, and a suit by PMH and Prospect OldCo NJ, Inc. (formerly Prospect EOGH, Inc.) in Los Angeles Superior Court (22STCV27936) alleging fraud and unfair competition.", "qualification": "These are PMH's claims as plaintiff; their merits and outcomes are not in the retained records.", "response": "", "outcome": "", "source_ids": [ "src-079" ], "entity_ids": [ "pmh", "eoh-real-estate", "prospect-oldco-nj" ] }, { "id": "c-ch11-saidara-declaration", "kind": "fact", "text": "On May 19, 2025 the debtors filed a declaration by Frank Saidara in support of the Astrana sale transaction.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-033" ], "entity_ids": [ "frank-saidara", "pmh", "astrana" ] }, { "id": "c-ch11-ri-eoh", "kind": "fact", "text": "PMH's chief restructuring officer recounts that losses led Prospect to close its San Antonio, Texas hospitals in 2019 and sell its Texas real estate in 2020, and that in October 2021 Prospect OldCo NJ, Inc. (formerly Prospect EOGH, Inc.) sold East Orange General Hospital to EOH Acquisition Group, LLC; the group had expanded into Texas in February 2012 with the Nix Health Care System and into New Jersey in March 2016 with East Orange General Hospital.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "prospect-oldco-nj", "eoh-acquisition" ] }, { "id": "c-reg-doj-cids", "kind": "attributed", "text": "According to PMH's chief restructuring officer, on October 30, 2023 the U.S. Department of Justice issued a civil investigative demand to PMH under the False Claims Act alleging that PMH upcoded certain secondary diagnoses on inpatient claims submitted to federal health programmes, and on May 17, 2024 a second False Claims Act demand to Prospect Medical Systems, LLC, a non-debtor subsidiary of Prospect Intermediate Holdings, LLC, alleging false diagnosis codes submitted to increase risk-adjusted payments.", "qualification": "A civil investigative demand is an investigative request; it does not establish a violation. No outcome of these inquiries appears in the retained records.", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "prospect-medical-systems-llc" ], "adverse_subject_ids": [ "pmh", "prospect-medical-systems-llc" ] }, { "id": "c-reg-ct-dcp-cids", "kind": "attributed", "text": "PMH's chief restructuring officer also stated that the Connecticut Department of Consumer Protection issued two civil investigative demands under the Connecticut Unfair Trade Practices Act: on January 11, 2024, regarding a breach of Prospect Medical Systems' electronic files and an allegation that it failed to safeguard patient information after the August 2023 cybersecurity incident, and on April 19, 2024 to Prospect Medical Systems regarding hospital funding practices.", "qualification": "Investigative demands described by the debtors; no outcome appears in the retained records.", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "prospect-medical-systems-llc" ], "adverse_subject_ids": [ "prospect-medical-systems-llc" ] }, { "id": "c-reg-data-breach-litigation", "kind": "fact", "text": "Class actions by people affected by the 2023 data breach against PMH and Southern California Hospital Healthcare System Inc were consolidated as In re Prospect Medical Holdings Inc Data Breach, No. 2:2023cv04936, in the U.S. District Court for the Eastern District of Pennsylvania (Judge Wendy Beetlestone), filed on December 13, 2023.", "qualification": "The retained docket record does not show the outcome.", "response": "", "outcome": "", "source_ids": [ "src-085" ], "entity_ids": [ "pmh", "schs" ], "adverse_subject_ids": [ "pmh", "schs" ] }, { "id": "c-reg-taxes-investigative-report", "kind": "attributed", "text": "An April 2026 investigative report states that Prospect failed to pay state and local governments more than $135 million in taxes, did not pay vendors for equipment, services and supplies, and closed four safety-net hospitals in a Philadelphia suburb that it had promised to keep open; it also reports that Prospect's insurance subsidiaries were based in Vermont and the Cayman Islands and that Rhode Island's Department of Business Regulation acknowledged that Prospect had filed no self-insurance documents since 2019 despite self-insuring.", "qualification": "Statements by the publication, citing state officials; the tax total is the publication's figure.", "response": "", "outcome": "", "source_ids": [ "src-089" ], "entity_ids": [ "pmh" ] }, { "id": "c-cap-chic", "kind": "fact", "text": "Connecticut Healthcare Insurance Company (CHIC) is a Cayman Islands exempted company whose registered owner is Prospect ECHN, Inc., an indirect wholly owned subsidiary of PMH; CHIC issued insurance policies to the debtors and ceded the risk to reinsurers under reinsurance contracts.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-091", "src-079" ], "entity_ids": [ "chic", "prospect-echn", "pmh" ] }, { "id": "c-cap-pa-layers", "kind": "fact", "text": "According to CHIC's foreign representatives, in Pennsylvania before October 1, 2020 the first $500,000 of liability on a claim was insured through Prospect Medical Holdings Risk Retention Group, Inc., a self-insurance programme of the Prospect debtors, and the next $500,000 by the state's MCare fund, with coverage above that from third-party excess insurers. From October 1, 2020, claim amounts above $1 million (up to a cap of $80 million) were insured through CHIC, subject to the debtors' self-insured retention between $1 million and $13.5 million, and CHIC reinsured those obligations with third-party insurers.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-091" ], "entity_ids": [ "pmh-rrg", "pmh", "chic" ] }, { "id": "c-cap-cayman-petition", "kind": "fact", "text": "CHIC filed a winding-up petition in the Financial Services Division of the Grand Court of the Cayman Islands, and by order of March 18, 2026 Orla O'Regan and Michael Pearson were appointed joint provisional liquidators and foreign representatives; the provisional liquidators, the Prospect debtors and the reinsurers reached a settlement in principle under which the reinsurers would pay the Prospect debtors about $26 million in exchange for the commutation of CHIC policies and reinsurance, excluding the 2025–2026 policy year.", "qualification": "CHIC's foreign representatives date the petition to March 12, 2026; the Grand Court's winding-up order refers to a petition filed on March 16, 2026.", "response": "", "outcome": "", "source_ids": [ "src-091", "src-102" ], "entity_ids": [ "chic", "orla-oregan", "michael-pearson", "pmh" ] }, { "id": "c-cap-chapter15", "kind": "fact", "text": "CHIC's foreign representatives sought recognition of the Cayman proceeding in the U.S. Bankruptcy Court for the Northern District of Texas (Chapter 15 case No. 26-32010, Judge Stacey G. Jernigan).", "qualification": "", "response": "Personal-injury claimants objected to the petition, and the foreign representatives replied to the objections.", "outcome": "After an evidentiary hearing on June 9, 2026 the court granted recognition with a narrower order. The June 10, 2026 order recognises the Cayman proceeding as a foreign main proceeding, confirms Michael Pearson and Orla O'Regan as foreign representatives, and states that it does not extend the Cayman stay to the debtors in PMH's Chapter 11 case or to CHIC's insurers and reinsurers.", "source_ids": [ "src-090", "src-101", "src-102" ], "entity_ids": [ "chic", "michael-pearson", "orla-oregan", "pmh" ] }, { "id": "c-cap-plan-settlement", "kind": "fact", "text": "PMH's plan administrator moved in the Chapter 11 case (Docket No. 5082) for approval under Bankruptcy Rule 9019 of a settlement with CHIC and the settling reinsurers; the Prospect GUC Trust appeared as a creditor in the Chapter 15 case.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-090", "src-101" ], "entity_ids": [ "pmh", "chic", "guc-trust" ] }, { "id": "c-cap-winding-up", "kind": "fact", "text": "On May 28, 2026 the Grand Court of the Cayman Islands (FSD 93 of 2026) ordered CHIC to be wound up, discharged Michael Pearson and Orla O'Regan of JTC Special Situations Limited as joint provisional liquidators and appointed them joint official liquidators; the Cayman Islands Gazette notice gives CHIC's registration number as 174133, with its registered office at Marsh Management Services Cayman Ltd.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-102", "src-103" ], "entity_ids": [ "chic", "michael-pearson", "orla-oregan" ], "adverse_subject_ids": [ "chic" ] }, { "id": "c-lead-2021-witnesses", "kind": "fact", "text": "In its 2021 review the Rhode Island Attorney General examined under oath, for PMH, Samuel Lee (chief executive officer), David Topper (senior vice president), Mark Johnson (chief financial officer) and George Pillari (senior vice president of integration and operations), and, for Leonard Green, its partners Alyse Wagner and John Baumer.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "samuel-lee", "david-topper", "mark-johnson", "george-pillari", "alyse-wagner", "john-baumer", "pmh", "lgp" ] }, { "id": "c-lead-2024-witnesses", "kind": "fact", "text": "In May 2024 the Rhode Island Attorney General's office examined under oath, among others, Alfredo Sabillo (PMH chief financial officer), George Pillari (PMH corporate chief of integration and operations improvement), Ben Mingle (president of The Centurion Foundation) and Jeffrey Liebman (CharterCARE chief executive).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "alfredo-sabillo", "george-pillari", "jeffrey-liebman", "pmh", "centurion" ] }, { "id": "c-lead-co-ceos-2023", "kind": "fact", "text": "The U.S. Senate Budget Committee's letter of December 6, 2023 was addressed to Von Crockett and David Topper as co-chief executive officers of PMH.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-005" ], "entity_ids": [ "von-crockett", "david-topper", "pmh" ] }, { "id": "c-lead-website", "kind": "attributed", "text": "PMH's website, as retrieved in October 2026, lists Von Crockett and David Topper as co-chief executive officers, with Crockett also described as president of Alta Hospitals and Topper as president of Alta Hospitals System, LLC; Mitchell Lew, MD as president; Alfredo Sabillo as chief financial officer; and Rob Elders and Frank Saidara as co-general counsel.", "qualification": "Company self-description; the page is undated and may not reflect changes after the 2025–2026 sales.", "response": "", "outcome": "", "source_ids": [ "src-039", "src-007" ], "entity_ids": [ "von-crockett", "david-topper", "mitchell-lew", "alfredo-sabillo", "rob-elders", "frank-saidara", "pmh", "alta-hospitals-system" ] }, { "id": "c-lead-2025-management", "kind": "fact", "text": "The November 2025 Waterbury sale agreement names PMH's management as Von Crockett (co-chief executive officer), Alfredo Sabillo (chief financial officer) and Kim Lumia (chief operating officer); the August 2025 California agreement defines the sellers' knowledge as that of Von Crockett and Alfredo Sabillo. In the January 2025 Transaction Committee, Crockett was described as chief executive officer and Frank Saidara as general counsel.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-012", "src-034", "src-068" ], "entity_ids": [ "von-crockett", "alfredo-sabillo", "kim-lumia", "frank-saidara", "pmh" ] }, { "id": "c-lead-lumia-2019", "kind": "fact", "text": "In March 2019 Kimberly A. Lumia testified to the Connecticut General Assembly as PMH's Chief Regional Performance Officer for its East Coast hospital division.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-105" ], "entity_ids": [ "kim-lumia", "pmh" ] }, { "id": "c-lead-subsidiary-boards", "kind": "fact", "text": "The omnibus resolutions authorising the January 11, 2025 bankruptcy filings were signed by Samuel S. Lee and David Topper as the board of Prospect Waterbury, Inc., by Samuel S. Lee alone as the board of Hospital Advisory Services, Inc., and by Von Crockett and David Topper as the boards of Prospect East Holdings, Prospect CT, Alta Los Angeles Hospitals, Southern California Healthcare System, Prospect ECHN, Prospect Rockville Hospital, Prospect Manchester Hospital, Prospect Oldco NJ and other corporations; Von Crockett signed as member for the group's limited liability companies, including Prospect East Hospital Advisory Services, Coordinated Regional Care Group, Prospect CharterCARE, Prospect Crozer, Prospect CharterCARE RWMC and SJHSRI, Prospect CCMC and Prospect DCMH. Frank Saidara certified the resolutions as secretary of each company.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-050" ], "entity_ids": [ "samuel-lee", "david-topper", "von-crockett", "frank-saidara", "prospect-waterbury", "has-inc", "prospect-east-holdings", "prospect-ct", "alta-los-angeles", "schs", "prospect-echn", "prospect-rockville", "prospect-manchester", "prospect-oldco-nj", "pehas", "crcg", "prospect-chartercare", "prospect-crozer", "pcc-rwmc", "pcc-sjhsri", "prospect-ccmc", "prospect-dcmh", "pmh", "alta-hospitals-system" ] }, { "id": "c-lead-alta-managers", "kind": "fact", "text": "The resolution authorising Alta Hospitals System, LLC's bankruptcy filing was signed by Von Crockett and David Topper as its board of managers.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-006" ], "entity_ids": [ "von-crockett", "david-topper", "alta-hospitals-system" ] }, { "id": "c-lead-profiles", "kind": "attributed", "text": "Executive-data profiles describe Mitchell Lew, MD as a former president of PMH who sits on the board of Prospect Medical Group and was previously chief executive officer of Prospect Medical Systems, Inc.; Mark Johnson and Alfredo Sabillo as former chief financial officers; Rob Elders as a former co-general counsel; and Von Crockett as PMH's chief executive officer.", "qualification": "Aggregator profiles with undated entries; they do not give exact dates of service.", "response": "", "outcome": "", "source_ids": [ "src-048", "src-054", "src-057", "src-063", "src-100", "src-099" ], "entity_ids": [ "mitchell-lew", "pmg", "pms-inc", "mark-johnson", "alfredo-sabillo", "rob-elders", "von-crockett", "pmh" ] }, { "id": "c-lead-lee-later-roles", "kind": "attributed", "text": "A securities-data profile lists Samuel Sang-Bum Lee as chairman of PMH and as chairman of Brotman Medical Center, Inc. since April 21, 2008, and a director-data profile records Lee's public-company directorship of PMH from the third quarter of 2007 to the fourth quarter of 2010.", "qualification": "Aggregator data compiled from public filings.", "response": "", "outcome": "", "source_ids": [ "src-086", "src-047" ], "entity_ids": [ "samuel-lee", "pmh", "brotman" ] }, { "id": "c-lead-heather-prime", "kind": "attributed", "text": "A company-data profile describes Mike Heather as chief financial officer of Prime Healthcare Services from August 2013 and previously chief financial officer of PMH, where Heather led the company's 2005 initial public offering.", "qualification": "Aggregator profile.", "response": "", "outcome": "", "source_ids": [ "src-060" ], "entity_ids": [ "mike-heather", "prime", "pmh" ] }, { "id": "c-lead-prasad-profiles", "kind": "attributed", "text": "Director-data profiles record Dr. Jeereddi Prasad's only public-company directorship as PMH from the second quarter of 2007 to the fourth quarter of 2010 and describe Prasad as a former PMH board member.", "qualification": "Aggregator data compiled from public filings.", "response": "", "outcome": "", "source_ids": [ "src-065", "src-077" ], "entity_ids": [ "jeereddi-prasad", "pmh" ] }, { "id": "c-lead-lgp-partners", "kind": "fact", "text": "PMH's 2010 merger proxy names John Danhakl (with the firm since 1995), Peter Nolan and Jonathan Sokoloff (with the firm since 1990) as managing partners of Leonard Green; Leonard Green's website in 2026 lists Jonathan Sokoloff and John Danhakl as managing partners, John Baumer as a senior partner who joined in 1999 and Alyse Wagner as a partner who joined in 2003.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032", "src-055" ], "entity_ids": [ "john-danhakl", "jonathan-sokoloff", "john-baumer", "alyse-wagner", "lgp" ] }, { "id": "c-lead-solomon", "kind": "attributed", "text": "A securities-data profile describes Michael S. Solomon as a former partner of Leonard Green & Partners and a former director of PMH, among other companies.", "qualification": "Aggregator profile.", "response": "", "outcome": "", "source_ids": [ "src-053" ], "entity_ids": [ "michael-solomon", "lgp", "pmh" ] }, { "id": "c-pub-auditor", "kind": "fact", "text": "PMH's fiscal-2010 annual report identifies BDO USA, LLP as its principal accountant for the fiscal years ended September 30, 2010 and 2009.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "bdo" ] }, { "id": "c-buy-13d-exit", "kind": "fact", "text": "Samuel S. Lee's December 2010 Schedule 13D amendment, filed as part of a group with David R. Topper, Alexa Topper, Mike Heather and Dr. Jeereddi A. Prasad, reported that after the merger of Ivy Merger Sub Corp. into PMH on December 15, 2010 under the merger agreement dated August 16, 2010, the reporting persons ceased to own any PMH common stock directly or beneficially and PMH was deregistering its securities.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-009" ], "entity_ids": [ "samuel-lee", "david-topper", "alexa-topper", "mike-heather", "jeereddi-prasad", "pmh", "ivy-holdings" ] }, { "id": "c-coc-holding-companies", "kind": "fact", "text": "The Rhode Island Attorney General's 2021 decision states that Ivy Holdings and Ivy Intermediate Holding operate only as holding companies for PMH, with no operations other than required corporate actions and no financial activity other than lending funds to PMH.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "ivy-holdings", "ivy-intermediate", "pmh" ] }, { "id": "c-coc-dividend-restriction", "kind": "fact", "text": "The Attorney General's 2021 decision cites Section 6.09 of the Chamber/Ivy merger agreement as requiring that no dividends be paid for two years or until Prospect made a mandated $50 million pension payment, in addition to an initial $70 million pension payment under Section 4.07.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "chamber", "ivy-holdings", "pmh" ] }, { "id": "c-coc-ri-ag-summary", "kind": "attributed", "text": "The Attorney General's 2021 decision describes Ivy Holdings as the holding company that owns PMH, about 60% owned by Leonard Green and about 40% by PMH chief executive Sam Lee and David Topper, with Lee and Topper to obtain 100% of Ivy and PMH through Chamber by buying out Leonard Green's stake for about $12 million.", "qualification": "Rounded shares as stated by the Attorney General; the Department of Health's decision gives the exact pre-transaction percentages.", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "ivy-holdings", "lgp", "samuel-lee", "david-topper", "chamber", "pmh" ] }, { "id": "c-ct-echn-parent", "kind": "fact", "text": "The Chapter 11 petition of Prospect ECHN, Inc. (No. 25-80041) lists Prospect CT, Inc., at 3824 Hughes Ave., Culver City, as the holder of 100% of its equity; Yale's bankruptcy filings describe the Connecticut debtors party to the Yale sale agreement as PMH, Prospect CT, Inc., Prospect ECHN, Inc. (doing business as Eastern Connecticut Health Network), Prospect Rockville Hospital, Inc., Prospect Manchester Hospital, Inc., Prospect Waterbury, Inc. (doing business as The Waterbury Hospital) and Prospect CT Medical Foundation, Inc., among others.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-006", "src-059" ], "entity_ids": [ "prospect-ct", "prospect-echn", "pmh", "prospect-rockville", "prospect-manchester", "prospect-waterbury", "prospect-ct-medical-foundation", "ynhh" ] }, { "id": "c-ca-alta-owner", "kind": "fact", "text": "The corporate ownership statement in the Chapter 11 petition of Alta Hospitals System, LLC (No. 25-80007, filed January 11, 2025) lists PMH as holder of 100% of its equity.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-050" ], "entity_ids": [ "alta-hospitals-system", "pmh" ] }, { "id": "c-ch11-alta-creditors", "kind": "fact", "text": "The list of the 30 largest unsecured creditors in Alta Hospitals System, LLC's petition includes Cerner Corporation, MPT Operating Partnership LP, the California Department of Health Care Services and the Centers for Medicare & Medicaid Services, among others.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-050" ], "entity_ids": [ "alta-hospitals-system", "mpt-op" ] }, { "id": "c-ch11-affiliation", "kind": "fact", "text": "PMH's chief restructuring officer stated that each debtor is an affiliate because PMH directly or indirectly owns or controls 20% or more of the outstanding voting securities of each debtor.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh" ] }, { "id": "c-pay-senate-2025", "kind": "attributed", "text": "PMH's chief restructuring officer summarised a January 7, 2025 report by Senators Grassley and Whitehouse of the Senate Budget Committee, which the chief restructuring officer said focused on Leonard Green & Partners' 11-year majority ownership of Prospect and alleged that, while care deteriorated and the system took on unsustainable debt and lease obligations, Leonard Green executives took home hundreds of millions of dollars in dividends and preferred stock redemptions.", "qualification": "Allegations of a Senate committee report as summarised in the debtors' declaration; the report itself is not retained.", "response": "A 2026 investigative report states that Leonard Green disputed the Senate report's conclusions and that Prospect has denied any misconduct or negligent care.", "outcome": "", "source_ids": [ "src-002", "src-089" ], "entity_ids": [ "lgp", "pmh" ] }, { "id": "display-claim-3dbb00fb237ef3fdf297efc9", "kind": "analysis", "text": "Ownership of PMH passed from public shareholders to Leonard Green's funds and rolled-over executives in December 2010, and to Samuel Lee and the Topper family trust through Chamber Inc. in 2021. Over that time a Senate committee letter puts the fees and dividends taken by Leonard Green and other owners at $658 million, and according to the Rhode Island Attorney General's consultant PMH sold most of its hospital buildings to Medical Properties Trust in 2019 and leased them back. Rhode Island issued an order and sued over unpaid vendors and unmet conditions, Pennsylvania's Attorney General sued over Crozer Health and Connecticut's filed a claim in the bankruptcy; in the 2025–2026 case most hospitals were sold or closed, and possible estate claims against Leonard Green, Lee and Topper were preserved. Each account keeps the parties' responses and the unresolved status of the claims beside it.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-004", "src-013", "src-002", "src-050", "src-092", "src-041", "src-037", "src-003", "src-069", "src-094", "src-089", "src-005", "src-068", "src-082", "src-088", "src-080", "src-081", "src-096", "src-035", "src-066", "src-012", "src-093", "src-034", "src-079", "src-021", "src-026" ], "entity_ids": [ "pmh", "alta-hospitals-system", "php-holdings", "ivy-holdings", "samuel-lee", "mike-heather", "david-topper", "jeereddi-prasad", "gei-v", "gei-side-v", "lgp", "topper-trust", "chamber", "ivy-intermediate", "prospect-crozer", "mpt", "jeremy-rosenthal", "pcc-rwmc", "pcc-sjhsri", "prospect-medical-systems-llc", "us-trustee", "ivy-lgp-coinvest", "alyse-wagner", "michael-solomon", "john-baumer", "mark-johnson", "michael-sarian", "donna-vigil", "george-pillari", "nor", "ecapital", "prospect-ct", "prospect-echn", "prospect-rockville", "prospect-manchester", "prospect-ct-medical-foundation", "echn-holdings", "uchcfc-waterbury", "prospect-waterbury", "mpt-waterbury", "mpt-op", "kqt-aikens", "upper-darby-sd", "chariot", "christianacare", "centurion", "chri", "bank-of-america", "jeffrey-liebman" ] }, { "id": "display-claim-8ca86b1a6a05a67a4f95c11b", "kind": "analysis", "text": "Prospect Medical Holdings, Inc. (PMH) is a Delaware corporation whose business, by its own account, began operating in 1996. Its fiscal-2010 annual report gave SEC Commission File Number 1-32203, employer identification number 33-0564370 and offices at 10780 Santa Monica Blvd. in Los Angeles. The SEC's EDGAR record for Central Index Key 0001063561 lists it as an operating company in offices and clinics of doctors of medicine, with a September 30 fiscal year end, but shows a different employer identification number, 330604264. PMH's Chapter 11 petition of January 11, 2025 repeats 33-0564370, gives its principal place of business as 3824 Hughes Avenue, Culver City, California, lists no other names used in the previous eight years and identifies PMH as a health care business.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-004", "src-013", "src-002" ], "entity_ids": [ "pmh" ] }, { "id": "display-claim-b2b497311967f43c1c75fb90", "kind": "analysis", "text": "At the petition date PMH's chief restructuring officer listed 16 hospitals owned and operated by Prospect: seven in California, two in Rhode Island (Roger Williams Medical Center and Our Lady of Fatima), three in Connecticut (Rockville General, Manchester Memorial and Waterbury) and four in Pennsylvania (Crozer-Chester Medical Center, Springfield, Taylor and Delaware County Memorial). The declaration notes that one of them, Foothill Regional Medical Center in Tustin, California, is managed by, but not directly owned by, PMH. Alta Hospitals System, LLC (employer identification number 26-0620619) and PHP Holdings, LLC (47-1856088, formerly PHP Holdings, Inc.) gave the same Culver City address in their own petitions.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-050", "src-092" ], "entity_ids": [ "pmh", "alta-hospitals-system", "php-holdings" ] }, { "id": "display-claim-6dcd06863ce4153af1e878fd", "kind": "analysis", "text": "PMH was a listed company until December 15, 2010, when Ivy Merger Sub Corp. merged into it and its shares, traded on the NASDAQ Global Market, were converted into the right to receive $8.50 in cash. The exception was the shares held by the buyer, Ivy Holdings Inc., including those contributed to it just before the merger by Samuel S. Lee, Mike Heather, David R. Topper, Dr. Jeereddi A. Prasad and certain employees. Afterwards PMH was 62% indirectly owned by the Leonard Green funds and 38% by the rollover and employee investors.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041" ], "entity_ids": [ "pmh", "ivy-holdings", "samuel-lee", "mike-heather", "david-topper", "jeereddi-prasad", "gei-v", "gei-side-v", "lgp" ] }, { "id": "display-claim-2a73dadf2b5c3ddee9184db5", "kind": "analysis", "text": "Before the 2021 change of control, the Rhode Island Department of Health recorded, Ivy Holdings was owned 44.48% by Green Equity Investors V, 13.34% by Green Equity Investors Side V, 19.51% by Samuel Lee and 14.45% by David Topper's family trust, with other managers holding under 10% each. Afterwards it would be wholly owned by Chamber Inc., held 66.67% by Lee and 33.33% by the Topper trust. Debtor filings in the 2025 bankruptcy describe the resulting chain: Chamber, owned by Lee and the Topper family trust, owns Ivy Holdings, which owns Ivy Intermediate Holding, Inc., which owns PMH; in November 2024 PMH and Prospect Crozer, LLC named the same three parents in a federal court disclosure statement.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-037", "src-003", "src-069" ], "entity_ids": [ "ivy-holdings", "gei-v", "gei-side-v", "samuel-lee", "topper-trust", "chamber", "david-topper", "ivy-intermediate", "pmh", "prospect-crozer" ] }, { "id": "display-claim-269a7302f27eb41f59a2139b", "kind": "analysis", "text": "Estimates of what the owners took out differ by period and by which payments are counted; the journalists' figures are estimates, not audited amounts. A 2020 investigative report counted $645 million of dividends after the 2010 buyout, about $386 million to Leonard Green investors and the firm, $128 million to Lee, $94 million to Topper and $37 million to other executives, plus $14 million of fees; a 2026 follow-up put Leonard Green's and the founders' total at $658 million in fees and dividends. The chair and ranking member of the U.S. Senate Budget Committee wrote in December 2023 that Leonard Green, which exited completely in 2021, and other owners extracted $658 million in fees and dividends over about a decade. Leonard Green and Prospect told the 2020 report, in written statements through a jointly retained public-relations firm, that they had kept their commitments, abided by the law, provided good patient care and invested hundreds of millions of dollars, saving many failing hospitals and preserving thousands of jobs. For the 2026 report Leonard Green declined to respond, Lee could not be reached and Topper answered “no comment”.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-094", "src-089", "src-005" ], "entity_ids": [ "pmh", "lgp", "samuel-lee", "david-topper", "topper-trust" ] }, { "id": "display-claim-f8f1d5d4c21983f918ac8d92", "kind": "analysis", "text": "On August 23, 2019, according to the Rhode Island Attorney General's consultant summarising PMH's audited footnotes, PMH sold all of its hospital buildings in California (except Foothill Regional Medical Center), Connecticut and Pennsylvania to affiliates of Medical Properties Trust for about $1.4 billion, leased them back for 15 years with options for up to 15 more, and closed a mortgage loan of about $51 million on the Foothill property and a TRS promissory note of about $113 million. In the bankruptcy, the chair of PMH's Transaction Committee stated in December 2025 that PMH had transferred about $203.6 million in 2018–2021 to certain current directors and officers or entities they control, $199.4 million of it to Topper and Lee, and that the debtors had viable claims over some of these transfers. That is the committee's conclusion, not a court finding; no judgment on these claims appears in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-068" ], "entity_ids": [ "pmh", "mpt", "jeremy-rosenthal", "david-topper", "samuel-lee" ] }, { "id": "display-claim-1c093c7024d5926e588a9802", "kind": "analysis", "text": "Rhode Island's Department of Health issued an Immediate Compliance Order on November 9, 2023 after finding that Prospect's underfunding of Roger Williams Medical Center and Our Lady of Fatima Hospital was affecting operations: at least 19 elective surgeries were cancelled in October 2023 because equipment and supplies were unavailable owing to unpaid vendors, and PMH swept the hospitals' patient revenue daily and returned an operating allowance weekly. The same month the Attorney General sued PMH for failing to meet the 2021 conditions, including paying accounts more than 90 days overdue, which then exceeded $24 million; the Connecticut Attorney General's later draft complaint puts that amount at more than $18.9 million. On June 12, 2024 Associate Justice Brian P. Stern of the Rhode Island Superior Court granted a preliminary injunction requiring Prospect to pay $17,326,526 toward the overdue payables.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-082", "src-088" ], "entity_ids": [ "pmh", "pcc-rwmc", "pcc-sjhsri" ] }, { "id": "display-claim-d8488a89585746a5eed3dad2", "kind": "analysis", "text": "On October 28, 2024 the Pennsylvania Attorney General's office sued PMH, Prospect Crozer, LLC, Leonard Green and Partners and two PMH directors, alleging mismanagement and neglect of Crozer Health and breaches of the purchase agreement; this description of the allegations comes from PMH's chief restructuring officer, and the defendants' answer is not retained. The case, naming Samuel Lee and David Topper among the defendants, was removed to the U.S. District Court for the Eastern District of Pennsylvania on October 31, 2024; Leonard Green, Lee and Topper filed notices consenting to removal, and the Attorney General moved to remand; the retained docket, last retrieved on December 16, 2024, shows no merits ruling. A January 31, 2025 motion in the bankruptcy for approval of a settlement among the debtors, the Attorney General, Lee and Topper was withdrawn by the debtors before April 21, 2025. On July 9, 2025 the Connecticut Attorney General filed a proof of claim attaching a draft complaint against PMH and Prospect Medical Systems, LLC for negligent misrepresentation over the 2016 hospital purchase, unjust enrichment and unfair trade practices. Those claims have not been adjudicated; in December 2025 the office's spokesperson said it was pursuing them, would add defendants if appropriate and was keeping its investigation open.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-069", "src-080", "src-081", "src-096" ], "entity_ids": [ "pmh", "prospect-crozer", "lgp", "samuel-lee", "david-topper", "prospect-medical-systems-llc" ] }, { "id": "display-claim-2d67e96058a52fed2277aac5", "kind": "analysis", "text": "PMH and its hospital companies filed for Chapter 11 in the U.S. Bankruptcy Court for the Northern District of Texas on January 11, 2025 (In re Prospect Medical Holdings, Inc., No. 25-80002), followed by the physician companies on July 7 and the top holding companies on September 19, 2025. The court confirmed the Amended Joint Chapter 11 Plan on December 15, 2025. The plan's Non-Released Parties Schedule, filed on October 1, 2025, keeps possible estate claims against persons including Lee, Topper, the Topper family trust, Leonard Green and its funds, the former Leonard Green directors Alyse M. Wagner, Michael Solomon and John Baumer, and former executives; exclusion from the releases preserves claims and is not a finding of liability. Leonard Green and its affiliates did not respond to a December 2025 newspaper request for comment on the designation. A December 2025 newspaper report states that at a hearing that month Judge Stacey Jernigan noted that Leonard Green, Lee and Topper had been named non-released parties, and that an attorney for the trust managing Prospect's assets said people would have causes of action brought and the trust would work to bring as much money back in when the time was right; no such suit appears in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-035", "src-066", "src-012", "src-093", "src-096" ], "entity_ids": [ "pmh", "us-trustee", "samuel-lee", "david-topper", "topper-trust", "lgp", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "alyse-wagner", "michael-solomon", "john-baumer", "mike-heather", "jeereddi-prasad", "mark-johnson", "michael-sarian", "donna-vigil", "george-pillari" ] }, { "id": "display-claim-ad87f61b783b175b236a9808", "kind": "analysis", "text": "Most of the hospitals were sold or closed during the case. On August 29, 2025 the bankruptcy court approved the sale of the California hospital assets to NOR Healthcare Systems Corp., finding that the buyer acted in good faith without collusion and was not an insider or affiliate of the debtors. Eastern Connecticut Health Network's Rockville General and Manchester Memorial hospitals were sold to ECHN Holdings, Inc., later renamed Manchester Memorial Hospital, Inc., and the debtors agreed to sell Waterbury Hospital to UCHCFC Waterbury Health Corp. for $13,000,000, of which $9,000,000 was for real estate sold by its Medical Properties Trust owner. In Pennsylvania, according to Delaware County's government, which describes Prospect's tenure as years of mismanagement and financial exploitation, Taylor Hospital closed on April 26, 2025 and Crozer-Chester Medical Center on April 30, 2025; Taylor, Delaware County Memorial and Crozer-Chester were later bought by other parties and the outpatient sites by ChristianaCare, while a first buyer of Springfield Hospital failed to close. On March 6, 2026 The Centurion Foundation completed its purchase of Roger Williams Medical Center and Our Lady of Fatima Hospital in Rhode Island, which passed to a new nonprofit, CharterCARE Health of Rhode Island.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-034", "src-079", "src-012", "src-021", "src-026" ], "entity_ids": [ "pmh", "nor", "ecapital", "prospect-ct", "prospect-echn", "prospect-rockville", "prospect-manchester", "prospect-ct-medical-foundation", "echn-holdings", "uchcfc-waterbury", "prospect-waterbury", "mpt-waterbury", "mpt-op", "prospect-crozer", "kqt-aikens", "upper-darby-sd", "chariot", "christianacare", "centurion", "chri", "bank-of-america", "jeffrey-liebman" ] }, { "id": "display-claim-8a65bbaacd5518ed679184d0", "kind": "analysis", "text": "Jacob Y. Terner, M.D. was PMH's Chairman, Chief Executive Officer and a director from July 31, 1996. PMH's fiscal-2006 report states that Terner had been Chairman and Chief Executive Officer of Century MediCorp, Inc. from 1988 to 1992 and, after its merger, an executive vice president and director of Foundation Health Corporation until December 1992, and that Terner was a director of Brotman Medical Center, Inc. Until August 8, 2008 Terner was also the sole shareholder, sole director and chief executive of Prospect Medical Group, Inc., and the sole shareholder and a director and officer of Nuestra Familia Medical Group, Inc. Terner left the PMH posts during fiscal 2008 and remained a shareholder. The filing dates the departure only to fiscal 2008; the 2010 annual report states that Samuel S. Lee was appointed chief executive on March 19, 2008 and chairman on May 14, 2008.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-043", "src-001" ], "entity_ids": [ "jacob-terner", "pmh", "pmg", "nuestra-familia", "century-medicorp", "foundation-health", "brotman" ] }, { "id": "display-claim-2d8e259f88f3995e0cc56575", "kind": "analysis", "text": "The fiscal-2006 report also disclosed that on June 30, 1997 Terner consented to a final judgment of permanent injunction in an SEC action arising from an insider-trading investigation into trading in Century MediCorp stock in June and July 1992, before its merger with Foundation Health was announced. Terner consented without admitting or denying the allegations, and the report states that the trading under investigation was by persons other than Dr. Terner. The judgment enjoined Terner from violating Section 10(b) of the Securities Exchange Act and Rule 10b-5 and required a civil penalty of $225,750.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-043" ], "entity_ids": [ "jacob-terner", "century-medicorp" ] }, { "id": "display-claim-d5dc9b88df7e4c591a15f093", "kind": "analysis", "text": "The executive officers listed in the fiscal-2006 report were Terner; Catherine S. Dickson, President, Chief Operating Officer and a director; Mike Heather, Chief Financial Officer; R. Stewart Kahn, Executive Vice President and Secretary; Linda Hodges, Executive Vice President of Compliance; Michael A. Terner, Vice President of HMO Contracting and Health Plan Relations; and Donna Vigil, Vice President of Finance. Dickson had worked at Prospect Medical Systems since January 1998, where Dickson became President and Chief Executive Officer, was PMH's President and Chief Operating Officer from July 2003 and a director from February 2004, and resigned from all positions with PMH and its subsidiaries effective August 25, 2008; under a December 22, 2008 severance agreement PMH agreed to pay Dickson $67,500. That biography comes from a 2008 company filing as reproduced on a director-data profile, which dates the directorship from the second quarter of 2005 to the third quarter of 2008. Vigil, Chief Financial Officer from July 1998, became Vice President of Finance in April 2004, when Heather, a former Deloitte partner and chief financial officer and co-chief executive of WebVision, Inc., was appointed Chief Financial Officer. PMH reported that Michael Terner, Jacob Terner's son, would assume Kahn's mergers-and-acquisitions and some operating responsibilities when Kahn resigned in July 2007, and signed a severance agreement with PMH dated June 4, 2008.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-043", "src-052", "src-031", "src-001", "src-064", "src-076" ], "entity_ids": [ "pmh", "jacob-terner", "catherine-dickson", "mike-heather", "michael-terner", "donna-vigil", "pms-inc" ] }, { "id": "display-claim-6a4102b9a6d8a85d1cacdc05", "kind": "analysis", "text": "A business-directory profile compiled from company reports, which are not among the retained records, lists PMH under the ticker PZZ at 400 Corporate Pointe, Culver City, with revenue of $135.8 million and net income of $4.9 million in 2006, against $133.5 million and $4.1 million in 2005. PMH's fiscal-2010 annual report identifies BDO USA, LLP as its principal accountant for fiscal 2009 and 2010.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-062", "src-001" ], "entity_ids": [ "pmh", "bdo" ] }, { "id": "display-claim-bef7b7c2aae1c6e41e461140", "kind": "analysis", "text": "On June 1, 2007 Prospect Medical Group bought the ProMed Entities for $48 million, paid as $41.04 million in cash and 1,543,237 PMH shares. ProMed Health Care Administrators became a wholly owned PMH subsidiary, and Pomona Valley Medical Group and Upland Medical Group became subsidiaries of Prospect Medical Group. Jeereddi A. Prasad, M.D., President of the ProMed companies since 1994 and of Upland since 2002, and since 1991 President and Medical Director of Chaparral Medical Group, Inc., a multi-specialty group that Prasad founded, joined PMH's board the same day.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmg", "promed-hca", "pmh", "jeereddi-prasad", "promed-hsc", "upland", "chaparral" ] }, { "id": "display-claim-767addeef6a7084571e63d82", "kind": "analysis", "text": "On August 8, 2007 PMH bought Alta Healthcare System, Inc., the owner of four community hospitals in Los Angeles County, for about $103 million, paid roughly half in cash and half in stock, and repaid about $41.5 million of Alta's debt. Alta belonged to Samuel S. Lee and the David & Alexa Topper Family Trust; the Federal Trade Commission had granted early termination of the Hart-Scott-Rodino waiting period on June 15, 2007. Alta was merged into a PMH subsidiary that became Alta Hospitals System, LLC. According to Lee's Schedule 13D, Lee received 943,568 PMH common shares (8.3%), 836,440 shares of Series B preferred stock and $25.6 million in cash; the preferred stock carried an 18% cumulative annual dividend, allowed its holders voting as a class to elect two PMH directors and gave them consent rights over specified actions. The sellers agreed to indemnify PMH for specified litigation pending against Alta, Lee and David Topper. PMH arranged $155 million of acquisition financing with Bank of America, N.A. as agent, secured by deeds of trust over the Los Angeles, Hollywood, Norwalk and Van Nuys community hospitals and by shares pledged by Jacob Terner.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-038", "src-045", "src-031" ], "entity_ids": [ "pmh", "alta-hospitals-system", "bank-of-america", "samuel-lee", "topper-trust", "david-topper", "alta-los-angeles", "alta-hollywood", "jacob-terner" ] }, { "id": "display-claim-162bf6d332613b5080c29a0c", "kind": "analysis", "text": "Lee had co-founded Alta in 1998, after it bought seven hospitals from Paracelsus Healthcare Corporation, after serving as a general partner of Kline Hawkes & Co. A 2020 investigative report states that Lee oversaw Kline Hawkes' investment in Alta, that the firm invested $3 million and that it exited in 2001 with $5.3 million, which Alta borrowed to pay; the retained record has no transaction document for this investment. Lee joined PMH's board on August 8, 2007, when Lee also became Alta's chief executive, became PMH's Chief Executive Officer on March 19, 2008 and its Chairman on May 14, 2008, and was an officer of all of PMH's subsidiaries.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-094" ], "entity_ids": [ "samuel-lee", "pmh", "alta-hospitals-system", "kline-hawkes" ] }, { "id": "display-claim-bf4b778ee537620424d4ba70", "kind": "analysis", "text": "A 2020 investigative report states that soon after the acquisition the auditor Ernst & Young found overstated revenue and profit in Alta's accounts, that PMH could not file its SEC reports on time, was delisted and defaulted on its loans, and that in April 2008 Alta restated its 2006 revenue down by about $4 million; the restated filings themselves are not retained. PMH's own fiscal-2008 annual report describes a suspension rather than a delisting: the American Stock Exchange suspended trading in its shares from January 16, 2008, after the late filing of its fiscal-2007 annual report, until June 18, 2008, and PMH incurred about $1,383,000 in costs for restating Alta's pre-acquisition financial statements and for a special investigation by its audit committee completed in March 2008. According to the same 2020 report, Prospect told the SEC that its investigation had found no “intentional wrongdoing”, and Lee dismissed the significance of the restatement, saying the bigger problem was that Prospect was in far worse shape than Lee had been led to believe.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-094", "src-031" ], "entity_ids": [ "pmh", "alta-hospitals-system" ] }, { "id": "display-claim-11eb83dd5f2e9a0e7e370e81", "kind": "analysis", "text": "In 2008 PMH and Prospect Medical Group signed forbearance agreements with Bank of America, N.A., as administrative agent, and the lenders under PMH's first- and second-lien credit facilities, dated April 10, 2008 and amended on April 30 and May 14, followed by amendments with waivers and consents on May 15 and June 30, 2008. In connection with Terner's departure PMH agreed to pay the Terner family trust a total of $1,257,000 in monthly instalments running to April 30, 2011, but stopped in September 2009 after deciding that Terner was not entitled to them; Terner sued to restore the payments and a trial began on January 31, 2011. A 2020 investigative report states that Terner won the full amount due, about $1 million, plus legal fees; the court's judgment is not among the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-031", "src-001", "src-041", "src-094" ], "entity_ids": [ "pmh", "pmg", "bank-of-america", "jacob-terner" ] }, { "id": "display-claim-ef3fe8b4111311082275d4d8", "kind": "analysis", "text": "An August 2008 Schedule 13D amendment reported that David R. Topper, together with Alexa Topper, beneficially owned 5,192,435 PMH shares, 25.5% of the class; the David & Alexa Topper Family Trust is a revocable trust whose settlors and trustees are David and Alexa Topper. PMH's 2010 merger proxy records that in the quarter ended September 30, 2008 Lee and Topper each acquired 4,182,200 PMH shares at $5.00 a share. In May 2010, as a director, more-than-10% owner and chief executive, Lee reported selling PMH shares at $7.00 to $7.11 under a Rule 10b5-1 trading plan adopted on March 17, 2010, after which Lee held 4,976,040 shares directly.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-008", "src-032", "src-104" ], "entity_ids": [ "david-topper", "alexa-topper", "topper-trust", "pmh", "samuel-lee" ] }, { "id": "display-claim-d7ba12b336e96d4cf87cd7c0", "kind": "analysis", "text": "Aggregator profiles compiled from public filings add further dates: a securities-data profile lists Lee as chairman of Brotman Medical Center, Inc. from April 21, 2008, and director-data profiles record Lee's PMH directorship from the third quarter of 2007 and Dr. Prasad's from the second quarter of 2007, both to the fourth quarter of 2010. A company-data profile describes Heather as having led PMH's 2005 initial public offering before becoming chief financial officer of Prime Healthcare Services in August 2013.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-086", "src-047", "src-065", "src-077", "src-060" ], "entity_ids": [ "samuel-lee", "pmh", "brotman", "jeereddi-prasad", "mike-heather", "prime" ] }, { "id": "display-claim-7b76c116a965b62ec969db32", "kind": "analysis", "text": "PMH bought about 33% of Brotman Medical Center, a hospital in Culver City, on August 31, 2005. Brotman filed for bankruptcy in October 2007; when it emerged on April 14, 2009 a $2.5 million investment raised PMH's stake to about 72%, held through Prospect Hospital Advisory Services, Inc., with Culver Hospital Holdings holding 27% and three other shareholders 1%. Participation of about $3.07 million in a rights offering lifted the stake to about 78% from November 15, 2010, and a further $831,466 in February 2011 to about 78.20%; PMH then described Brotman as a hospital with 420 licensed and 185 staffed beds. Prospect Hospital Advisory Services (formerly Prospect Medical Management, Inc.) charged Brotman $100,000 a month for consulting from August 1, 2005; an amended agreement effective April 14, 2009 replaced the fee with 4.5% of Brotman's net operating revenue each month, payable in cash or shares, and on January 7, 2010 the adviser bought $3.5 million of Brotman's 15% convertible notes.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-084", "src-041" ], "entity_ids": [ "pmh", "brotman", "phas", "culver-hospital-holdings" ] }, { "id": "display-claim-542067f17697d69c347b3f72", "kind": "analysis", "text": "Under Brotman's 2009 reorganization plan, Los Angeles Jewish Home for Aging provided financing of up to $22.25 million, secured by personal property and a mortgage on part of the real estate, and Brotman also had an April 14, 2009 credit agreement with Gemino Healthcare Finance, LLC; PMH did not guarantee Brotman's debt. In December 2009 Brotman's chief executive, Von Crockett, notified shareholders of a $5.5 million convertible note offering, part of which was to repay $1,965,949 owed to Prospect Hospital Advisory Services and up to $3 million of unpaid 401(k) contributions. After the rights offering, the minority shareholder Culver Hospital Holdings sued PMH, the adviser, Brotman and members of Brotman's board, with Crockett also a co-defendant, and the trial court barred the conversion of Brotman notes and Prospect debt into shares and the repayment of about $2 million to Prospect from the offering proceeds. On October 24, 2011 the California Court of Appeal, Second Appellate District, reversed that June 25, 2010 preliminary injunction, holding that the plaintiff could not bring direct claims that were derivative in nature, and awarded costs on appeal against it. PMH's March 2011 quarterly report disclosed that Brotman had accrued $13,834,000 for possible Medicare outlier overpayments for its 2005 and 2006 fiscal years, was disputing a $4.8 million obligation under California's hospital fee legislation, from which $65,000 a week was being withheld for 108 weeks from February 14, 2011, and had accrued $973,000 for repayment after a Medi-Cal audit.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-084", "src-041" ], "entity_ids": [ "brotman", "la-jewish-home", "gemino", "pmh", "von-crockett", "culver-hospital-holdings", "phas", "samuel-lee" ] }, { "id": "display-claim-4b26558a16cf96f67f4fd324", "kind": "analysis", "text": "At September 30, 2010 PMH owned and operated five Los Angeles County hospitals with about 759 licensed beds: the Hollywood, Los Angeles, Norwalk and Van Nuys community hospitals acquired with Alta, held through Alta Hollywood Hospitals, Inc. and Alta Los Angeles Hospitals, Inc., and Brotman Medical Center in Culver City. Its fiscal-2010 report lists the hospital real estate it owned or controlled through Alta Hospitals System, LLC and Prospect Hospital Advisory Services, Inc.: Hollywood Community Hospital (100 beds), Los Angeles Community Hospital (130), Norwalk Community Hospital (50), the Van Nuys psychiatric hospital (59) and the Brotman campus (420). The subsidiaries list filed with the 2009 annual report also includes Prospect Medical Systems, Inc., ProMed Health Services Company, ProMed Health Care Administrators and affiliated medical groups.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-019" ], "entity_ids": [ "pmh", "alta-hospitals-system", "alta-hollywood", "alta-los-angeles", "brotman", "phas", "pms-inc", "promed-hsc", "promed-hca" ] }, { "id": "display-claim-b0456de4bb32e4262c4ca1af", "kind": "analysis", "text": "On July 29, 2009 PMH issued $160 million of 12.75% senior secured notes due 2014 at 92.335% of face value, with U.S. Bank National Association as indenture trustee, and opened a three-year $15 million revolving credit facility with Royal Bank of Canada as administrative agent and Jefferies Finance LLC, which was undrawn at the end of fiscal 2010. The notes and the facility were jointly and severally guaranteed by PMH's restricted subsidiaries other than Brotman, Nuestra Familia and certain immaterial subsidiaries, and secured by first-priority liens on substantially all assets. A continuing guaranty of July 29, 2009 in favour of Royal Bank of Canada was given by subsidiaries including the Alta companies, the ProMed companies, Prospect Hospital Advisory Services, Prospect Medical Group and Prospect Medical Systems.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "pmh", "us-bank", "rbc", "jefferies", "alta-hospitals-system", "alta-hollywood", "alta-los-angeles", "promed-hca", "promed-hsc", "phas", "pmg", "pms-inc" ] }, { "id": "display-claim-afb174ce84bc2d48c94bb278", "kind": "analysis", "text": "PMH's 2010 merger proxy recounts that from October 2009 management met potential sources of capital, including Leonard Green, and that on April 13, 2010 Leonard Green, on behalf of Green Equity Investors V, submitted a nonbinding proposal to buy all PMH shares for $7.50 in cash, conditional on Samuel Lee, David Topper, Mike Heather and Dr. Jeereddi Prasad rolling over a significant part of their equity. The merger closed on December 15, 2010 at $8.50 a share: Ivy Merger Sub Corp. merged into PMH, PMH became an indirect wholly owned subsidiary of Ivy Holdings Inc., and its common stock ceased trading on the NASDAQ Global Market. Immediately before the merger Lee (Chairman and Chief Executive Officer), Heather (Chief Financial Officer), Topper (President of the Alta Hospitals System subsidiary) and Prasad (a director and President of the ProMed Health Services subsidiary) contributed a total of 6,227,824 PMH shares to Ivy Holdings for 529,365 Ivy Holdings shares.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032", "src-001" ], "entity_ids": [ "pmh", "lgp", "gei-v", "samuel-lee", "david-topper", "mike-heather", "jeereddi-prasad", "ivy-holdings", "alta-hospitals-system", "promed-hsc" ] }, { "id": "display-claim-bdf48d2907642f527471072d", "kind": "analysis", "text": "The proxy estimated PMH's own merger expenses at $6,135,000, including a $2,600,000 financial adviser fee and $3,100,000 of legal fees, and PMH's compensation committee approved a $1,235,000 bonus for Lee payable only on completion of the merger. The FTC granted early termination of the Hart-Scott-Rodino waiting period on September 14, 2010. Lee's December 2010 Schedule 13D amendment, filed as a group with David R. Topper, Alexa Topper, Heather and Prasad, reported that after the merger the group no longer owned any PMH common stock directly or beneficially and that PMH was deregistering its securities. PMH filed Forms 15-12B and 15-15D to end its SEC registration and reporting; its EDGAR record ends with filings made on July 26, 2011, when PMH also reported the results of a consent solicitation from holders of its senior secured notes to amend their indenture, including its reporting covenants.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032", "src-001", "src-009", "src-004", "src-073" ], "entity_ids": [ "pmh", "samuel-lee", "david-topper", "alexa-topper", "mike-heather", "jeereddi-prasad", "ivy-holdings" ] }, { "id": "display-claim-5833e7ea0bac8b2e6c96a95d", "kind": "analysis", "text": "Ivy Holdings Inc. was formed and, before the merger, solely owned by Green Equity Investors V, L.P. and Green Equity Investors Side V, L.P., Delaware limited partnerships affiliated with Leonard Green & Partners, L.P., which the proxy described as a private equity firm with about $9 billion of equity commitments under management; the general partner of each fund is GEI Capital V, LLC. The merger subsidiary, formed on July 21, 2010, belonged to Ivy Intermediate Holding Inc., itself wholly owned by Ivy Holdings, and after the merger Ivy Intermediate owned all 100 outstanding shares of PMH, which had no public trading market. The proxy describes Ivy Holdings as a Delaware corporation controlled by the Leonard Green funds, with its business address care of Leonard Green at 11111 Santa Monica Boulevard, Los Angeles, John Baumer as its President and Leonard Green vice president Alyse Wagner as its Vice President, Secretary and Treasurer.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032", "src-001" ], "entity_ids": [ "ivy-holdings", "gei-v", "gei-side-v", "lgp", "gei-capital-v", "ivy-intermediate", "pmh", "john-baumer", "alyse-wagner" ] }, { "id": "display-claim-981f661e6a5587bb2f2b6b25", "kind": "analysis", "text": "PMH's fiscal-2010 annual report lists Ivy Holdings' owners after the merger as Green Equity Investors V (46.0%), Green Equity Investors Side V (13.8%), Ivy LGP Co-Invest LLC (1.5%), Lee (20.2%), the David & Alexa Topper Family Trust (14.9%), Heather (1.6%), Prasad (1.2%) and other PMH employees (0.8%). Its March 2011 quarterly report summarises this as 62% indirect ownership by the Leonard Green funds and 38% by the rollover and additional employee investors, and records a capital contribution of about $844,000 from the funds. Before the merger, the proxy's beneficial ownership table of November 8, 2010 listed Lee with 30.3% of PMH, the Topper family trust with 22.9%, the Terner Family Trust of Jacob Y. Terner and spouse with 8.8%, Nelson Obus with 6.6%, Joshua Landes with 6.3%, Heather with 3.4% and Prasad with 1.8%. The 54.5% that the table also attributes to Ivy Holdings, GEI Capital V, Leonard Green and related entities arises from voting agreements with the rollover investors; these are not additional shares.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041", "src-032" ], "entity_ids": [ "ivy-holdings", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "samuel-lee", "topper-trust", "mike-heather", "jeereddi-prasad", "pmh", "lgp", "terner-family-trust", "jacob-terner", "nelson-obus", "joshua-landes", "gei-capital-v" ] }, { "id": "display-claim-43a0537c427cea333c52011b", "kind": "analysis", "text": "Ivy Holdings' board adopted a stock option plan on December 15, 2010 and on February 22, 2011 granted options over 86,476 Ivy Holdings shares to fifteen PMH employees. At the closing Ivy Holdings, Ivy Intermediate Holding and PMH signed a tax sharing agreement allowing PMH to make payments to its two parents for taxes they owe as parents of the consolidated group.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-041" ], "entity_ids": [ "ivy-holdings", "pmh", "ivy-intermediate" ] }, { "id": "display-claim-b83930f915fa1efa87cc73e9", "kind": "analysis", "text": "The proxy estimated that about $150,976,370 was needed to complete the merger, including about $127,984,876 for stockholders, $21,705,123 for option holders and $1,210,371 for warrant holders. Under an equity commitment letter the Leonard Green funds committed to buy $161,000,000 of equity in Ivy Holdings: $118,818,000 from Green Equity Investors V (73.8%) and $42,182,000 from Side V (26.2%). Besides common stock, the funds bought Ivy Holdings' 13.5% Senior Redeemable Exchangeable Cumulative Preferred Stock, with an initial liquidation value of about $69,180,000, for about the same price; it carries a cumulative annual dividend of 13.5% of liquidation value, ranks ahead of the common stock for dividends and is redeemable at a premium starting at 107% in 2011 and falling to 100% in 2015. The funds also agreed to backstop the change-of-control repurchase of PMH's senior secured notes; holders tendered $8,200,000 of notes, which PMH repurchased effective January 19, 2011.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032", "src-001", "src-041" ], "entity_ids": [ "gei-v", "gei-side-v", "ivy-holdings", "pmh", "lgp" ] }, { "id": "display-claim-536b2aeabff1fc5afc63dd73", "kind": "analysis", "text": "On the closing date PMH and U.S. Bank National Association, as trustee, signed a First Supplemental Indenture permitting PMH to make certain “Restricted Payments” immediately after the merger, and PMH and Royal Bank of Canada signed a consent amending covenants of PMH's credit agreement. PMH's fiscal-2010 annual report states that it had not previously paid cash dividends on its common stock and that its new credit agreements allowed dividends of up to 50% of consolidated net income when no default existed. Its unaudited balance sheet at March 31, 2011 showed total assets of $388.1 million, liabilities of $294.8 million, long-term debt of $150.3 million plus $22.8 million current portion and stockholder's equity of $96.4 million, with six-month revenue of $294.5 million and a net loss attributable to PMH of $3.8 million.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041" ], "entity_ids": [ "pmh", "us-bank", "rbc" ] }, { "id": "display-claim-10f50a05f9cb0162f9ad9ea4", "kind": "analysis", "text": "Later accounts describe the size of the 2010 transaction differently: the U.S. Senate Budget Committee's chair and ranking member refer to a $205 million acquisition, the Rhode Island Attorney General to Leonard Green buying a majority of the public shares for about $150 million, a consultant's report for the Rhode Island Department of Health to Leonard Green's initial investment in Ivy Holdings of about $151 million, and a nonprofit research report to a $363 million leveraged buyout that assumed $158 million of debt. The figures measure different things (total transaction value, the equity paid for public shares and the funds' own investment) and are reported by the bodies cited rather than taken from the 2010 merger documents.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-005", "src-003", "src-040" ], "entity_ids": [ "lgp", "pmh", "gei-v" ] }, { "id": "display-claim-6e2e32ade79d146c3bf1c2c4", "kind": "analysis", "text": "After the merger, affiliates of Leonard Green had the right to designate three of PMH's five directors: John Baumer, a Leonard Green partner since 1999 who led the due diligence for the Prospect acquisition; Michael Solomon, a principal since 2000; and Alyse Wagner, a vice president since 2003 who took part in the due diligence. All three became PMH directors on December 15, 2010. The management stockholders designated the other two directors, Lee and Prasad.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001" ], "entity_ids": [ "lgp", "pmh", "john-baumer", "michael-solomon", "alyse-wagner", "samuel-lee", "jeereddi-prasad" ] }, { "id": "display-claim-48bbdea3f28c942312a16fac", "kind": "analysis", "text": "On December 10, 2010 PMH formed a wholly owned subsidiary, Prospect Green Management, LLC, to be used solely to pay Leonard Green for advisory services. Under a management services agreement dated December 15, 2010 the subsidiary agreed to pay Leonard Green & Partners an annual fee of $1,000,000 regardless of the services provided, a one-time $4,000,000 structuring fee for the merger, fees for major transactions as agreed and up to $50,000 a year of expenses, for a ten-year term renewing annually; by March 2011 it had paid the $4,000,000 fee and $441,000 of merger expenses. Lee signed the agreement as chief executive of Prospect Green Management and Baumer for Leonard Green through its general partner, LGP Management, Inc.; Ivy Holdings and Ivy Intermediate Holding unconditionally guaranteed the subsidiary's obligations.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041", "src-095" ], "entity_ids": [ "pmh", "prospect-green-management", "lgp", "samuel-lee", "john-baumer", "lgp-management", "ivy-holdings", "ivy-intermediate" ] }, { "id": "display-claim-f9bed85e9db05ecec5d5cd85", "kind": "analysis", "text": "Shareholder class actions challenging the buyout were filed in the Delaware Court of Chancery, including Bruce Lessey v. Prospect Medical Holdings, Inc. (filed August 25, 2010) and Thomas McCormack v. Samuel Lee (September 1, 2010), against PMH, the rollover investors, the special committee members, the Leonard Green funds, Ivy Holdings, the merger subsidiary and Leonard Green. They were consolidated on September 28, 2010 as In re Prospect Medical Holdings, Inc. Shareholders Litigation, C.A. No. 5760-VCN, alleging breach of fiduciary duty over the price and process, and six shareholders filed a second action on December 30, 2010. These are allegations in shareholder complaints; PMH's March 2011 quarterly report states that the defendants believed the actions were without merit, and no later outcome was found in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032", "src-041" ], "entity_ids": [ "pmh", "samuel-lee", "lgp", "ivy-holdings", "gei-v", "gei-side-v" ] }, { "id": "display-claim-99cadb26966f7dfd259f319a", "kind": "analysis", "text": "A January 2020 report by a nonprofit research group, based on a Prospect submission to Connecticut's Office of the Attorney General, lists the payments to Leonard Green and other owners as a $1 million annual management fee for 2011–2019 ($9,000,000), a $4,441,000 fee for the December 2010 merger, a $100,000,000 dividend in November 2012 and a $457,000,000 dividend in February 2018, a total of $570,441,000. These are the report's totals compiled from a company submission; other accounts give different totals for different periods and payment types. The Rhode Island Attorney General's 2021 decision records that the ten-year management services agreement signed in 2010 was, according to the parties, no longer being charged and would be terminated after the 2021 transaction.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-040", "src-003" ], "entity_ids": [ "lgp", "pmh" ] }, { "id": "display-claim-6cadb38c84647a9d4ae83284", "kind": "analysis", "text": "The Rhode Island Attorney General's 2021 decision, citing PMH's audited fiscal-2013 statements, states that in 2012, under Leonard Green's control, PMH paid Leonard Green and other shareholders, principally Samuel Lee and David Topper, a $188 million dividend funded by a bond issue; a 2020 investigative report likewise describes $188 million paid to Leonard Green and its investors in two rounds of dividends financed with high-yield bonds. The 2020 nonprofit research report gives a $100 million dividend in November 2012, and the retained records do not reconcile the two amounts. The Connecticut Attorney General's draft complaint states that PMH paid $88 million to Leonard Green in 2013. The Rhode Island Attorney General's 2024 decision states that when PMH entered Rhode Island in 2014 it assured the regulator that the 2013 dividend was a one-time payment with no similar distributions planned for the foreseeable future, and calls reliance on that assurance misplaced in light of the 2018 distributions. These are statements of two attorneys general in a draft pleading and a regulatory decision; PMH's 2013 financial statements are not retained.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-094", "src-040", "src-088", "src-081" ], "entity_ids": [ "pmh", "lgp", "samuel-lee", "david-topper" ] }, { "id": "display-claim-2cb3a2f67c17e3205bf97a54", "kind": "analysis", "text": "According to the Rhode Island Attorney General's 2021 decision, relying on reports by its consultants PYA and James P. Carris, PMH took on $1.12 billion of debt in fiscal 2018 and its board authorised a $457 million dividend from the proceeds in a leveraged dividend recapitalisation, whose principal beneficiaries were Leonard Green, Topper and Lee; a footnote in the same decision describes the board-approved distribution as $458 million in February 2018. PYA's April 2021 report to the Rhode Island Department of Health, drawn from PMH's audited statements, adds that the debt also refinanced earlier credit facilities, pre-funded about $40 million of subsidiaries' pension obligations and paid option holders and working capital, and that at September 30, 2018 PMH had an equity deficit of about $623 million, $7.7 million of cash (about one day of expenses) and about $208 million drawn on its revolver. The Attorney General found, from the audited statements as analysed by the Attorney General's consultants, that the dividend equalled about 60 days of operating expenses and was paid when PMH had cash for about one day, and that in fiscal 2018 PMH's net loss exceeded $240 million, its liabilities exceeded its assets by more than $620 million and its unfunded pension liabilities were about $260 million.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-088", "src-033" ], "entity_ids": [ "pmh", "lgp", "david-topper", "samuel-lee" ] }, { "id": "display-claim-78fc557e101733fd9d70da0a", "kind": "analysis", "text": "Several accounts state that the dividend was first planned at about $600 million and reduced to $457 million after Moody's warned that the transaction would lead to a downgrade: a nonprofit research report describes a proposed $1.2 billion loan that was restructured, the Connecticut Attorney General's draft complaint describes a planned $600 million distribution to private shareholders and executives, and a 2020 investigative report gives the same figures. The 2018 board materials and Moody's communication are not retained. The Connecticut draft complaint states that $90 million of the $457 million went to Lee, and a December 2023 letter from the chair and ranking member of the Senate Budget Committee, citing CBS News, also states that PMH's head made about $90 million from the debt-funded dividend. These are allegations and reported figures; Lee's response to them was not found in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-081", "src-094", "src-040", "src-005" ], "entity_ids": [ "pmh", "samuel-lee" ] }, { "id": "display-claim-83f32afce282cbe5297a3eee", "kind": "analysis", "text": "The Rhode Island Attorney General records that on January 25, 2019 the sponsor and part of management contributed $41 million in cash, citing Moody's observation that at the end of the first quarter of fiscal 2019 Prospect had no free cash and $20 million available under its asset-based credit line. The Attorney General's consultants report, from PMH's audited fiscal-2019 statements, that PMH paid shareholders a further $44 million that year, almost matching the $41 million that shareholders contributed for a new electronic medical records system. PYA characterised the Leonard Green funds' contribution as in substance a shareholder loan for short-term liquidity that was returned through dividends, and recorded the testimony of John Baumer and Alyse Wagner that apart from the initial 2010 investment of about $151 million in Ivy Holdings the funds had invested no further money; the Attorney General stated that apart from about $25 million contributed in 2019 and returned within a year, Leonard Green never invested its own money in PMH. The funds were described as near the end of their life and obliged to liquidate their investments.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "lgp", "gei-v", "john-baumer", "alyse-wagner", "ivy-holdings" ] }, { "id": "display-claim-dcea0c5a4690acbcd14a22d4", "kind": "analysis", "text": "A 2020 investigative report, quoting former chief financial officer Steve Aleman, describes the January 2019 payment instead as an emergency $41 million loan from Leonard Green, Lee and Topper to remove the auditor's going-concern doubts and avoid breaching loan covenants; other records call it a capital contribution. The report states that a Prospect lawyer accused Aleman of making false and defamatory statements to the publication, that Aleman's lawyer denied it and that Aleman confirmed that the comments were accurate. In March 2019, according to the Attorney General, Moody's Investors Service downgraded PMH to B3, citing very high financial leverage and a shareholder-friendly financial policy; the Moody's publication itself is not retained.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-094", "src-003" ], "entity_ids": [ "pmh", "lgp", "samuel-lee", "david-topper" ] }, { "id": "display-claim-8ff7f9aba898ac517a0f1b4e", "kind": "analysis", "text": "The cumulative figures depend on who counts and over what period. The Rhode Island Attorney General's 2021 decision concludes from PMH's audited statements that from 2012 to 2020 Leonard Green, Lee and Topper paid themselves more than half a billion dollars in cash from debt placed on PMH while it recorded cumulative losses of $603 million for fiscal 2015–2020; the Attorney General's consultant Carris stated that dividends of about $500 million and the losses left a stockholders' deficit of $1.06 billion. A 2020 investigative report counted $645 million of dividends after Leonard Green's purchase, about $386 million to Leonard Green investors and the firm, $128 million to Lee, $94 million to Topper and $37 million to other executives, plus $14 million of fees to the fund; a 2026 follow-up estimated that Topper received that share through the Topper family trust and that Leonard Green and the founders together took $658 million in fees and dividends in the decade after 2010. These are journalists' estimates, not audited figures. The Connecticut Attorney General's draft complaint, attached to a proof of claim and not adjudicated, gives $645 million of dividends to the main investors and management in recent years, including $128 million to Lee and $131 million to other executives. The Senate Budget Committee letter of December 2023 states that Leonard Green exited completely in 2021 and that over about a decade it and other owners extracted $658 million in fees and dividends, a figure that differs from the others because of period and payment definitions. In a press release on the June 20, 2024 decision the Rhode Island Attorney General said that in 2018–2019 Lee, Topper and Leonard Green extracted hundreds of millions of dollars to the detriment of the hospitals. Leonard Green and Prospect told the 2020 report, in written statements through a jointly retained public-relations firm, that they had kept their commitments, abided by the law, provided good patient care and invested hundreds of millions of dollars, saving many failing hospitals and preserving thousands of jobs. For the 2026 report Leonard Green declined to respond to questions, Lee could not be reached for comment and Topper answered “no comment”.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-094", "src-089", "src-081", "src-005", "src-025" ], "entity_ids": [ "lgp", "samuel-lee", "david-topper", "pmh", "topper-trust" ] }, { "id": "display-claim-cb269cb887a2097ff17747ad", "kind": "analysis", "text": "In January 2025 Senators Grassley and Whitehouse of the Senate Budget Committee issued a report which, as PMH's chief restructuring officer summarised it, focused on Leonard Green's 11-year majority ownership and alleged that Leonard Green executives took home hundreds of millions of dollars in dividends and preferred stock redemptions while care deteriorated and the system took on unsustainable debt and lease obligations; the report itself is not retained. According to a 2026 investigative report, Leonard Green disputed the Senate report's conclusions and Prospect has denied any misconduct or negligent care.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-089" ], "entity_ids": [ "lgp", "pmh" ] }, { "id": "display-claim-37959c5ecf0fb6238b2195f7", "kind": "analysis", "text": "PMH's audited statements for fiscal 2015 to 2020, as summarised by the Rhode Island Attorney General's consultant, show net revenue rising from $1.3 billion to $2.73 billion while operating income fell from $108.3 million to $15.6 million and long-term debt, excluding finance leases, rose from $451 million to nearly $1.6 billion; PMH paid about $478 million of interest over the period. PYA's summary shows net income of $34.3 million in fiscal 2017 and net losses of $244.2 million in 2018, $297.7 million in 2019 and $99.6 million in 2020, on revenue of $2.91 billion, $2.89 billion, $2.85 billion and $2.73 billion, with equity moving from $67.3 million in 2017 to deficits of $622.3 million, $970.1 million and $1,059.6 million. At September 30, 2020 total liabilities of $3,102,004,000 exceeded total assets of $2,042,389,000; liabilities to Medical Properties Trust, net of the current portion, were $1,290,556,000 and the accumulated deficit was $1,124,577,000.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "mpt" ] }, { "id": "display-claim-a34ec3919e62a245b3edc0db", "kind": "analysis", "text": "The consultant calculated that PMH's debt-to-equity ratio turned negative from fiscal 2018 and that its quick ratio was below 1.0 in every year from fiscal 2015 to 2020; the decision cites testimony by Leonard Green partner Alyse Wagner as pointing the other way on liquidity (“Contra Wagner”), but the content of that testimony is not shown in the public decision. Pandemic funding supported PMH's cash in 2020: about $276 million of CARES Act Medicare advance payments, repayable to CMS, and about $183 million of Provider Relief Fund payments. At September 30, 2020 PMH reported cash of about $387 million, of which about $120 million reflected deferred payables, and about $211 million available under its line of credit.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh" ] }, { "id": "display-claim-cff6d9c49e4f4ae9f343fe6a", "kind": "analysis", "text": "In a forward-looking assessment on April 26, 2021, the Attorney General's financial consultant James P. Carris concluded that PMH's liabilities exceeded its assets by more than $1 billion, that it had six-year cumulative losses of more than $600 million while its owners had taken more than $500 million in dividends, that management relied on debt and a $200 million credit line, that the TRS note was due in July 2022 with most real estate already sold to Medical Properties Trust, and that a liquidity crisis could be expected within 18 to 24 months. Beginning on January 11, 2025 PMH and its affiliated debtors filed voluntary Chapter 11 cases in the Northern District of Texas. In its 2024 analysis the Attorney General's consultant Veralon reported from PMH's audited statements net losses of $342 million in fiscal 2019 and $183 million in fiscal 2022, net margins between -3.3% and -14.6% and EBITDA margins of 2.7–4.6% over fiscal 2019–2022, accounts payable and accrued liabilities of $264.3 million, $383.0 million and $311.0 million at fiscal year-ends 2019–2021 and a current ratio that had not exceeded 1.0 since the end of fiscal 2020; it described PMH's financial condition as tenuous and recorded that management had to manage cash daily and decide which vendors to pay.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-002", "src-088" ], "entity_ids": [ "pmh", "mpt" ] }, { "id": "display-claim-9ee0b1572f59fe3f4bf12f1e", "kind": "analysis", "text": "Under a real property asset purchase agreement dated July 10, 2019 between PMH, its subsidiaries and Medical Properties Trust companies, the purchase price for PMH hospital real estate was $1,385,796,096 subject to adjustment; a TRS lender was to lend PMH $112,937,204 (the “TRS Loan”), and a separate mortgage loan of $51,266,700 was to be advanced on one financed property. Samuel S. Lee signed as PMH's Chairman and Chief Executive Officer and for the participating subsidiaries, including Alta Los Angeles Hospitals, Southern California Healthcare System, Alta Newport Hospital, the Manchester, Rockville and Waterbury hospital companies, Prospect Crozer, Prospect ECHN, Prospect CCMC and Prospect DCMH. The buyers of the non-California real estate were MPT property companies whose sole member is MPT Operating Partnership, L.P., including MPT of Waterbury PMH, LLC; the California properties were bought by MPT partnerships; and the TRS lender was MPT TRS Lender PMH, LLC, whose sole member is MPT Development Services, Inc.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-018" ], "entity_ids": [ "pmh", "mpt", "mpt-trs-lender", "samuel-lee", "alta-los-angeles", "schs", "alta-newport-inc", "prospect-manchester", "prospect-rockville", "prospect-waterbury", "prospect-crozer", "prospect-echn", "prospect-ccmc", "prospect-dcmh", "mpt-op", "mpt-waterbury", "mpt-development-services" ] }, { "id": "display-claim-bbae10d8d7b3c8170cb2993d", "kind": "analysis", "text": "According to the Rhode Island Attorney General's consultant, summarising the footnotes to PMH's audited statements, on August 23, 2019 PMH closed three transactions with MPT affiliates: the sale of all of PMH's hospital buildings in California (except Foothill Regional Medical Center), Connecticut and Pennsylvania for about $1.4 billion with a 15-year leaseback and options to extend for up to another 15 years; a mortgage loan of about $51 million on the Foothill property at 7.5% maturing in August 2034; and the TRS promissory note of about $113 million. As described in the Attorney General's 2021 decision, from the footnotes and the applicant's stipulation, the three were cross-collateralised and cross-defaulted, with no personal guarantees from Leonard Green, Lee or David Topper, and the hospital operating companies and the Rhode Island real estate were excluded from those arrangements. According to the Attorney General's 2021 decision and its consultant's report, the TRS note bore 7.5% a year with an annual escalator and matured at the earlier of July 2022 or a sale-leaseback of the Rhode Island properties, with about $105.5 million outstanding at September 30, 2020; the decision noted that an unpaid or unrenegotiated note would have subjected the Rhode Island hospitals to a sale-leaseback, and that the 2019 proceeds were used to repay debt assumed in 2018.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "mpt", "lgp", "samuel-lee", "david-topper" ] }, { "id": "display-claim-41a0ff6c29a719431d531091", "kind": "analysis", "text": "According to PMH's chief restructuring officer, on August 23, 2019 PMH subsidiaries also signed two master lease agreements with MPT affiliates as lessors: one with Prospect CCMC, Prospect DCMH and the Manchester and Rockville hospital companies as lessees, and one with Prospect CCMC, Southern California Healthcare System, Alta Los Angeles Hospitals and Prospect Waterbury. The declaration puts lease obligations under them at $760 million at the petition date. The debtors stated that they do not concede that these arrangements are true leases and reserved that position. The December 2023 letter of the Senate Budget Committee's chair and ranking member characterised the sale as the way PMH could pay off its debt, used in part for dividends: much of its real estate, 14 acute-care hospitals and 2 behavioral health hospitals, went to MPT, after which Delaware County Memorial Hospital in Pennsylvania had to pay $35 million a year in rent; the letter asked the parties to document a $1.55 billion valuation of the properties.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-005" ], "entity_ids": [ "pmh", "mpt", "prospect-ccmc", "prospect-dcmh", "prospect-manchester", "prospect-rockville", "schs", "alta-los-angeles", "prospect-waterbury" ] }, { "id": "display-claim-c9826653eb7eb73109e75f86", "kind": "analysis", "text": "MPT reported that in the second quarter of 2022 it funded an additional $100 million on an existing mortgage loan secured by a California hospital, that Prospect stayed current on rent and interest until the fourth quarter of 2022, and that it then recorded an impairment charge of about $280 million, reducing the carrying value of the Pennsylvania properties to about $250 million. MPT also stated that under the October 5, 2022 agreements to sell three Connecticut facilities to Yale it was entitled to receive $355 million at closing, and that it was entitled to part of the proceeds of Astrana Health's purchase of most of PHP Holdings.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-024" ], "entity_ids": [ "mpt", "pmh", "ynhh", "astrana", "php-holdings" ] }, { "id": "display-claim-4902be230e256e190a14e9c3", "kind": "analysis", "text": "On May 23, 2023 Prospect affiliates completed a transaction with funds managed or advised by Centerbridge Credit CS, L.P. and Blue Torch Capital L.P., which provided $375 million of new capital, and with MPT, which, in exchange for reducing about $646 million of obligations owed to it, received senior preferred units representing 49% of PHP Holdings and a convertible promissory note. PHP Holdings issued a convertible note of about $732 million to MPT Picasso Investors TRS, LLC; Prospect DCMH and Prospect CCMC borrowed under a real estate loan agreement with MPT affiliates, about $167 million of which was outstanding at the petition date; and PMH and certain subsidiaries took a $25 million term loan and a $50 million delayed-draw term loan from MPT TRS Lender PMH, LLC as agent. Prospect's $250 million asset-based revolving facility was repaid and its receivables became first-lien security for MPT's delayed-draw lending.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-011" ], "entity_ids": [ "pmh", "centerbridge", "blue-torch", "mpt", "php-holdings", "mpt-picasso", "prospect-dcmh", "prospect-ccmc", "mpt-trs-lender" ] }, { "id": "display-claim-2c103c0d54d9aa7783d540f0", "kind": "analysis", "text": "MPT stated in May 2023 that its $1.6 billion of Prospect-related assets would be reconstituted as an investment of about $513 million in six leased California hospitals under a master lease; a $457 million investment in Connecticut real estate that Yale New Haven Health was expected to acquire, recovered through $355 million of cash at closing and managed-care equity; and a $150 million first-lien mortgage loan plus $100 million of managed-care equity resulting from the transfer of the Pennsylvania real estate back to Prospect. In October 2023 it put its investment in Prospect at $1.1 billion and reported that Prospect had resumed paying contractual rent of about $3 million a month through February 2024 and was to begin full rent on the California portfolio at a mid-8% cash rate in March 2024; that its $75 million delayed-draw term loan to Prospect, secured by insurance receivables, was drawn to $45 million in the third quarter and $65 million afterwards; and that it had recorded about $82 million in the second and third quarters of 2023 from receiving an investment in PHP Holdings instead of cash rent and interest.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-011", "src-014" ], "entity_ids": [ "mpt", "pmh", "ynhh", "php-holdings" ] }, { "id": "display-claim-fa88032b9231553df5d58b8a", "kind": "analysis", "text": "MPT's 2024 annual report states that Prospect leased nine facilities under two master leases running to August 2034, that MPT also held a $155 million first mortgage loan on four Pennsylvania facilities and a $75 million term loan, all cross-defaulted and cross-collateralised, and that Prospect had made no scheduled rent or interest payment since the second quarter of 2024; MPT recorded more than $400 million of impairments and negative fair value adjustments on its Prospect investments in the fourth quarter of 2024.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-024" ], "entity_ids": [ "mpt", "pmh" ] }, { "id": "display-claim-231d28afeaf13b43a58fb423", "kind": "analysis", "text": "In a sworn first-day declaration, PMH's chief restructuring officer stated that in November 2024 Centerbridge proposed $20 million of interim financing and that in December 2024 MPT refused to consent to it, depriving the company of a bridge to a Chapter 11 filing. The declaration also states that on October 21, 2024, in anticipation of a forbearance agreement with MPT and at MPT's demand, PMH's special committee was disbanded and independent director Elizabeth Abrams was replaced by Jeremy Rosenthal. MPT's account of these events was not found in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "mpt", "centerbridge", "elizabeth-abrams", "jeremy-rosenthal" ] }, { "id": "display-claim-0e923c3ddbfa0c3ca726e31c", "kind": "analysis", "text": "The same declaration puts the group's funded obligations at the January 2025 petition date at about $2.3 billion: about $1.1 billion at the debtors, comprising about $84 million under a hospital revolving facility, $75 million under a hospital term loan, $167 million under the MPT mortgage loan and $760 million of lease obligations under the MPT master leases, while the non-debtor physician business owed $453 million under a term loan and $732 million under convertible notes held by MPT. MPT reported that in March 2025 the bankruptcy court approved a settlement among MPT, Prospect and others allowing Prospect to sell its hospital operations and related real estate with MPT's cooperation, and that in September 2025 it settled with Prospect and Yale New Haven Health System, with $45 million in cash from Yale, the proceeds of the three Connecticut hospital sales and other consideration expected to exceed its debtor-in-possession loan balance of about $100 million; it had also agreed in principle to lease the California hospitals to NOR Healthcare Systems Corp. at stabilised annual cash rent of about $45 million, subject to regulatory approval. Those were expectations stated in MPT's October 2025 earnings release, when its only remaining potential debtor-in-possession commitment was a conditional loan of up to $30 million secured by assets including litigation proceeds.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-044", "src-002" ], "entity_ids": [ "pmh", "mpt", "php-holdings", "ynhh", "nor" ] }, { "id": "display-claim-f5d8947c4c9c057464984208", "kind": "analysis", "text": "On March 6, 2026 PMH and the other borrowers entered into a backstop loan and security agreement with MPT TRS Lender PMH, LLC providing secured exit financing: a single term loan of up to $30,000,000 for administrative and priority claims and a delayed-draw loan of $25,000,000 from receivables proceeds connected with the sales of the Waterbury, Manchester and Rockville hospitals; $34,398,684.09 of debtor-in-possession obligations rolled into the facility. Under an assumption agreement of the same date the Prospect GUC Trust took over the borrowers' obligations as substitute borrower. The agreement names Paul Rundell as authorised person for the borrowers, Frank Saidara for the designated Prospect entity and Steven Balasiano and Amanda Swift for the GUC Trust, with payments to an account of MPT Development Services, Inc. at JPMorgan Chase.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079" ], "entity_ids": [ "pmh", "mpt-trs-lender", "guc-trust", "paul-rundell", "frank-saidara", "steven-balasiano", "mpt-development-services" ] }, { "id": "display-claim-810d162375e45c4d10517a06", "kind": "analysis", "text": "Ivy Holdings Inc. and Chamber Inc. entered into an Agreement and Plan of Merger dated October 2, 2019 under which a Chamber subsidiary would merge into Ivy Holdings and Chamber would become its sole stockholder. Chamber is a Delaware corporation incorporated on September 17, 2019 to carry out the transaction, with bylaws essentially mirroring Ivy Holdings'; both companies gave their principal offices as 3415 South Sepulveda Blvd., 9th Floor, Los Angeles. Samuel S. Lee and the David & Alexa Topper Family Trust were to acquire all of Chamber's equity; Ivy Holdings would remain the parent of Ivy Intermediate Holding, and Ivy Intermediate would remain PMH's parent. The Rhode Island Attorney General's 2021 decision states that Ivy Holdings and Ivy Intermediate operate only as holding companies for PMH, with no financial activity other than lending funds to it. In the 2020 application Lee was identified as chief executive of Chamber, Ivy Holdings, Ivy Intermediate, PMH, Prospect East Holdings and Prospect East Hospital Advisory Services. Chamber submitted an initial application under Rhode Island's Hospital Conversions Act on December 13, 2019.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-010", "src-003" ], "entity_ids": [ "ivy-holdings", "chamber", "samuel-lee", "topper-trust", "ivy-intermediate", "pmh", "david-topper", "prospect-east-holdings", "pehas" ] }, { "id": "display-claim-a1e2f57a350287e7f0617e2b", "kind": "analysis", "text": "The 2020 application stated that Ivy Holdings was owned by private equity partnerships, Lee, David Topper through the Topper family trust and other managers, that afterwards the Leonard Green investor and the minority management shareholders would hold no interest, and that the shareholders who were officers or directors, Lee, Topper, Dr. Jeereddi Prasad, Dr. Mitchell Lew and Bruce Grimshaw, had submitted conflict-of-interest statements; John Baumer, Alyse Wagner, Michael Solomon and Prasad received no compensation as board members. In their own statements in the filing, the parties said the transaction would be funded entirely with corporate cash, that they would incur no additional debt and pay no dividends to the acquirer as a result of it, that Chamber, Ivy Holdings, Ivy Intermediate, Prospect East Holdings and Prospect East Hospital Advisory Services had no financial statements because they had no financial activity, and that the member contribution to Prospect CharterCARE had risen from about $65.2 million to about $120.1 million. The Attorney General cited Section 6.09 of the merger agreement as barring dividends for two years or until Prospect made a mandated $50 million pension payment, in addition to an initial $70 million pension payment under Section 4.07.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-010", "src-003" ], "entity_ids": [ "ivy-holdings", "samuel-lee", "david-topper", "jeereddi-prasad", "mitchell-lew", "bruce-grimshaw", "john-baumer", "alyse-wagner", "michael-solomon", "pmh", "chamber", "ivy-intermediate", "prospect-east-holdings", "pehas", "prospect-chartercare" ] }, { "id": "display-claim-08d9103ea15471c7d74c38db", "kind": "analysis", "text": "The Attorney General and the Attorney General's consultant found that the transaction contemplated Lee and Topper, through the Topper family trust, buying out Leonard Green's roughly 60% stake in Ivy Holdings and the stakes of minority shareholders for a total of $11,940,992.00; rather than use their own money, Lee and Topper anticipated taking the $11.9 million out of PMH, and Leonard Green would also be relieved of responsibility for PMH's roughly $3.1 billion of liabilities. The consultant stated that the price of about $12 million was to be accounted for as a share buyback directly from PMH. A 2020 investigative report gave similar terms, $12 million in cash plus the assumption of $1.3 billion of lease obligations, the money to be paid by Prospect rather than the two executives, with a drag-along provision forcing all shareholders to sell. The report quotes a statement by Prospect and Lee: “in effect, the company's money is their money.” It also reports that former chief financial officer Steve Aleman sued in California in February 2020 seeking restoration of stock options and a 2018 bonus. On June 1, 2021 the Attorney General approved the application with conditions.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-094" ], "entity_ids": [ "samuel-lee", "david-topper", "lgp", "ivy-holdings", "pmh", "topper-trust" ] }, { "id": "display-claim-7b148c18fa6013560f25d2eb", "kind": "analysis", "text": "The Attorney General's decision describes Ivy Holdings, in rounded figures, as about 60% owned by Leonard Green and about 40% by Lee and Topper, and characterises the transaction as an in-house buy-out of majority stockholders whose representatives made up 60% of the board, after which Lee and Topper would be Prospect's sole owners. The Rhode Island Department of Health's decision of the same day gives the exact holdings: Green Equity Investors V 44.48%, Green Equity Investors Side V 13.34%, Lee 19.51% and the Topper family trust 14.45%, with other managers under 10% each, and records that afterwards Ivy Holdings would be wholly owned by Chamber, held 66.67% by Lee and 33.33% by the trust. PYA's report to the department put Lee and Topper's combined stake at about 34% before the transaction and 100% after, noted that the new owners also led the operating companies, and said Leonard Green would vacate three of the five seats on Ivy Holdings' board. The department's 2024 decision notes that the 2024 application reported Lee and the trust each owning 50% of Chamber, and that it was unclear when the change occurred.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-037" ], "entity_ids": [ "ivy-holdings", "lgp", "samuel-lee", "david-topper", "chamber", "pmh", "gei-v", "gei-side-v", "topper-trust" ] }, { "id": "display-claim-33d523f267dae647d053e6ab", "kind": "analysis", "text": "The Attorney General's decision also states that in November 2019 the chief executive of Prime Healthcare Services offered $50 million for PMH; the offer document is not retained.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "prime", "pmh" ] }, { "id": "display-claim-88ba48f89266ac08ecbb40ea", "kind": "analysis", "text": "The conditions of the June 1, 2021 approval required Prospect and Leonard Green to set aside $80 million in escrow or letters of credit for the Rhode Island hospitals, to pay all operating losses for five years, to invest $72 million in capital expenditure through fiscal 2026 (at least $10 million a year) and to forgo management fees, among other things; Chamber, as acquirer, had to pay for compliance monitoring through an escrow. The $10,000,000 payable to Leonard Green under the merger agreement had to go into the escrows, which were funded before closing as a $12,000,000 global conditions escrow (Prospect $4,000,000, Leonard Green $8,000,000), a $41,000,000 capital expenditure escrow (Prospect $14,200,000, Leonard Green $26,800,000) and a $27,000,000 escrow for Medicare advance repayments funded entirely by Prospect. According to the debtors' October 2025 bankruptcy motion, the cash escrow was held under an agreement of June 1, 2021 among City National Bank as escrow agent, Prospect and Leonard Green affiliates and James P. Carris as escrow trustee, to be released in instalments as capital spending thresholds were met. The Senate Budget Committee's December 2023 letter summarises Leonard Green's share as a $34.8 million contribution to an escrow fund protecting the hospitals, including the $10 million it would otherwise have received.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-037", "src-005" ], "entity_ids": [ "pmh", "lgp", "chamber" ] }, { "id": "display-claim-f216d1e58c652a986bd0362e", "kind": "analysis", "text": "Other conditions protected the hospitals' assets. Their real estate could not be pledged or used as collateral without the Attorney General's approval, and no Prospect CharterCARE property worth more than $100,000 could be sold, transferred or encumbered during the monitoring period without 60 days' notice and approval; the Attorney General noted that Prospect CharterCARE's cash was swept daily to Prospect. Prospect had to extend the maturity of the TRS note held by Medical Properties Trust by five years from April 30, 2021, during which Prospect CharterCARE's assets could not be used to repay it, including through a sale-leaseback, and any later transfer of those assets required approval. PYA's report also records that in December 2020 subsidiaries of Ivy Holdings agreed to pay $27.5 million in settlement of pension-funding litigation, of which about $22.5 million was expensed in fiscal 2020 and about $5 million was allocated to buying the 15% residual interest in Prospect CharterCARE held by CharterCARE Community Board.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "pmh", "prospect-chartercare", "mpt", "ivy-holdings", "chartercare-community-board" ] }, { "id": "display-claim-1daff4fa43641dd6a88a3e51", "kind": "analysis", "text": "Debtor filings in the 2025 Chapter 11 case describe Chamber Inc. as a Delaware corporation owned by Lee and the David Topper family trust and as the sole owner of Ivy Holdings Inc., which is the sole owner of Ivy Intermediate Holding, Inc., which is the sole owner of PMH. In November 2024 PMH and Prospect Crozer, LLC filed a corporate disclosure statement in the Eastern District of Pennsylvania naming Ivy Intermediate Holding, Ivy Holdings and Chamber.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-037", "src-069" ], "entity_ids": [ "chamber", "samuel-lee", "topper-trust", "ivy-holdings", "ivy-intermediate", "pmh", "prospect-crozer" ] }, { "id": "display-claim-2e110b053260656c8456ec50", "kind": "analysis", "text": "On or about October 18, 2013 PMH, Prospect East Holdings, Inc. and Prospect East Hospital Advisory Services, LLC, together with Prospect CharterCARE, applied under Rhode Island's Hospital Conversions Act to buy assets of the nonprofit CharterCARE Health Partners, Roger Williams Medical Center and St. Joseph Health Services of Rhode Island and form a joint venture to own and operate the CharterCARE system; the Attorney General issued a decision on May 16, 2014. PMH owned 85% and CharterCARE Health Partners 15% of the new Prospect CharterCARE, whose board the two owners appointed equally; PMH's chief restructuring officer later described the June 2014 partnership as making Prospect the majority owner while sharing governance equally with CharterCARE Community Board. The transaction included a $50 million long-term capital commitment to be funded by PMH and an annual $10 million routine commitment by Prospect CharterCARE. The Department of Health's 2024 decision gives the price as $45 million for the 85% interest, with the $50 million to be spent within four years of closing, and a nonprofit research report gave the same $45 million; the 2014 transaction documents themselves are not retained.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-010", "src-003", "src-002", "src-040", "src-037" ], "entity_ids": [ "pmh", "prospect-east-holdings", "pehas", "prospect-chartercare", "chartercare-health-partners", "chartercare-community-board" ] }, { "id": "display-claim-375fe82e6a5be6c5b329424f", "kind": "analysis", "text": "By 2021 the structure was: Prospect East Holdings, Inc., a wholly owned PMH subsidiary, held PMH's interest in Prospect CharterCARE, LLC; Prospect East Hospital Advisory Services, LLC, also wholly owned, oversaw day-to-day management; and Prospect CharterCARE owned Prospect CharterCARE RWMC, LLC (Roger Williams Medical Center, Providence, licence HOSP00133) and Prospect CharterCARE SJHSRI, LLC (Our Lady of Fatima Hospital, North Providence, licence HOSP00132). Jeffrey Liebman was chief executive of Prospect CharterCARE and both hospital companies at the time of the 2020 application and in 2024, and a 2024 provider registry entry lists Liebman as authorised official of CharterCARE Our Lady of Fatima Hospital. An independent monitor, Affiliated Monitors Inc., concluded its review of the 2014 commitments in 2020, finding that over the four-year monitoring period Prospect had spent $63,815,932.22 on long-term capital expenditure and Prospect CharterCARE $51,398,707.77 on routine expenses.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-010", "src-078" ], "entity_ids": [ "prospect-east-holdings", "pmh", "pehas", "prospect-chartercare", "pcc-rwmc", "pcc-sjhsri", "jeffrey-liebman", "fatima-npi" ] }, { "id": "display-claim-412a6e1eaefe591c1fb425f7", "kind": "analysis", "text": "An appraisal dated April 1, 2024 for the Attorney General's consultant identified Prospect CharterCARE, LLC as the fee-simple owner of the hospital real estate, with no transactions involving those assets in the preceding three years, and valued the real property at a hypothetical $94 million and equipment at $27 million. The two hospitals entered into Property Assessed Clean Energy (PACE) financing agreements totalling about $60 million, which attach to the properties as tax liens; the Roger Williams financing of about $42 million was agreed in May 2020 at 5.75%, maturing on April 30, 2045, with payments collected through property tax bills.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088", "src-003" ], "entity_ids": [ "prospect-chartercare", "pcc-rwmc", "pcc-sjhsri" ] }, { "id": "display-claim-7d42e22960283d061602ffd5", "kind": "analysis", "text": "As managing member of Prospect CharterCARE, Prospect East delegated day-to-day management of the hospitals to Prospect East Hospital Advisory Services under a management services agreement. The Attorney General found that PMH's average annual support to the hospitals beyond their own revenue was $14.7 million, which included a management fee averaging $6,977,000 a year, and made discontinuing the fee a condition of the 2021 transaction. Prospect CharterCARE's audited income statements, as tabulated by the Attorney General's 2024 consultant, show management fee expense of $7.40 million in fiscal 2019, $6.53 million in 2020, $4.00 million in 2021 and none in 2022; in fiscal 2019 $24.7 million of accrued and unpaid fees owed to PMH was forgiven and recorded as a non-cash equity contribution.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-088" ], "entity_ids": [ "prospect-east-holdings", "prospect-chartercare", "pehas", "pmh" ] }, { "id": "display-claim-fda64e7fa41fedc432289aef", "kind": "analysis", "text": "PYA reported that in fiscal 2020 Prospect CharterCARE received about $41 million of Provider Relief Fund distributions and about $27.5 million of Medicare advance funding and transferred the $68.5 million total to PMH, settling its prior balance owed to PMH and leaving a receivable from PMH on its balance sheet. The Attorney General's consultant James P. Carris interpreted the hospitals' fiscal-2020 balance sheets, which showed $21.6 million due from affiliates at Fatima's operating company after a one-year change of $26.8 million, and $31.3 million at Roger Williams after a change of $57.1 million, about $35 million of it from pandemic relief funds, as transfers by PMH or its affiliates out of the hospitals to fund other operations, and concluded that Prospect CharterCARE was not substantially viable without PMH's support. Carris reported that the Fatima operating company's net revenue was flat at $141.2 million to $144.9 million from fiscal 2015 to 2019 with a cumulative five-year loss of $8.7 million, and that its fiscal-2020 results included a $22.3 million legal settlement.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "prospect-chartercare", "pmh", "pcc-sjhsri", "pcc-rwmc" ] }, { "id": "display-claim-9cbb9163d1e7710f8614aa3d", "kind": "analysis", "text": "Prospect did not assume the St. Joseph Health Services of Rhode Island retirement plan in the 2014 joint venture. After the plan went into receivership (PC-2017-3865, R.I. Super. Ct.), litigation including fraud and misrepresentation claims was brought against PMH, Leonard Green and others over the handling of the pension. PMH agreed to pay $27,250,000, with no admission of liability. On July 29, 2021 the U.S. District Court for the District of Rhode Island (C.A. No. 18-328 WES) granted final approval of the class settlement in the suit brought by the plan receiver, Stephen Del Sesto, against PMH, Prospect East Holdings, Prospect CharterCARE and its two hospital companies and The Angell Pension Group. The gross settlement amount was $30,000,000, including $2,750,000 from a Rhode Island Superior Court deposit and two JPMorgan Chase letters of credit for $22,250,000 and $5,000,000, and class counsel was awarded $7,000,000. The order also names Samuel Lee, David Topper and the liquidating receiver of CharterCARE Community Board as parties to the settlement; the class comprised more than 2,700 plan participants.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-071" ], "entity_ids": [ "pmh", "lgp", "prospect-east-holdings", "prospect-chartercare", "pcc-rwmc", "pcc-sjhsri", "jpmorgan", "samuel-lee", "david-topper", "chartercare-community-board" ] }, { "id": "display-claim-70307ba652cf10ea5e29a01d", "kind": "analysis", "text": "The Attorney General's 2021 decision notes litigation in the First Circuit, NLRB v. Prospect CharterCARE (No. 19-2289), that arose when Prospect refused to provide an internal report on an operating-room equipment issue at Our Lady of Fatima Hospital. It states that the CMS star ratings of the two hospitals had not improved since 2014, when both were rated 3, and that Fatima's had fallen to 2. The decision records that Prospect CharterCARE's management vigorously disputed these criticisms and asserted that the quality of care at the hospitals was high.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "prospect-chartercare", "pcc-rwmc", "pcc-sjhsri" ] }, { "id": "display-claim-430099b8a3500508834840f6", "kind": "analysis", "text": "Veralon reported, based on testimony of CharterCARE management including chief executive Jeffrey Liebman and on the system's financial statements, that CharterCARE depended on PMH funding to cover its operating shortfalls but that the funding was insufficient to meet vendor obligations, causing supply problems; that CharterCARE did not control its own accounts payable because PMH told it daily which vendors to pay and how much; and that its payables grew from $41 million at September 30, 2022 to $63 million a year later and about $69 million at March 31, 2024. On November 9, 2023 the Department of Health issued an Immediate Compliance Order to PMH and related entities after finding that Prospect's underfunding of Roger Williams and Fatima was affecting operations: in October 2023 at least 19 elective surgeries were cancelled because equipment and supplies were unavailable owing to non-payment of vendors, PMH swept all patient revenue from the hospitals daily and returned an operating allowance weekly, and as of October 24 more than 250 of about 830 vendors required cash on delivery. CMS issued statements of deficiencies to both hospitals for rescheduled surgeries and a lack of medical supplies that delayed procedures, and a 2024 condition required the parties to fund repairs under CMS-approved plans of correction for the deficiencies noted on form CMS-2567 on April 2, 2024.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088", "src-082" ], "entity_ids": [ "pmh", "prospect-chartercare", "jeffrey-liebman", "pcc-rwmc", "pcc-sjhsri" ] }, { "id": "display-claim-12012c4f2a660026cf614e1c", "kind": "analysis", "text": "In November 2023 the Attorney General sued PMH (Neronha v. Prospect Medical Holdings, C.A. No. PC-2023-05832) for failing to comply with the 2021 conditions, including failing to pay accounts payable more than 90 days overdue, which then exceeded $24 million; the Connecticut Attorney General's later draft complaint describes the overdue payables in the suit as more than $18.9 million. On June 12, 2024 Associate Justice Brian P. Stern of the Rhode Island Superior Court granted a preliminary injunction requiring Prospect to pay $17,326,526 toward the overdue accounts payable.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "pmh" ] }, { "id": "display-claim-00c60b0a4fb7beaedbed55a8", "kind": "analysis", "text": "PMH engaged the investment bank H2C, which began looking for a buyer in April 2021 and sent a request for proposals to 24 hospitals and health systems. On November 17, 2022 The Centurion Foundation, Inc. entered into an asset purchase agreement with PMH to buy the CharterCARE system, naming QHR Health, LLC as manager of the facilities; PMH's chief restructuring officer described an $80 million price for the two hospitals. The Attorney General's 2024 decision describes Centurion as a Georgia-based 501(c)(3) corporation with no prior experience owning or operating an acute-care hospital, a private foundation of about three employees specialising in real estate finance, which initially planned to partner with QHR Health (Ovation Healthcare) and after QHR's exit planned to rely on CharterCARE's existing leadership, principally Liebman and the existing team; the Attorney General's consultant reported Centurion revenues of $15.6 million with a surplus of about $100,000 and more than $720 million of long-term bonds payable at June 2023. Asked at an October 22, 2024 meeting of the Rhode Island Health Services Council about Centurion's portfolio and prior experience, its president Benjamin Mingle said: “to be really transparent with you, we don’t have a case that was exactly like this...[b]ut we have all those elements.”", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088", "src-002", "src-037" ], "entity_ids": [ "centurion", "pmh", "h2c", "prospect-chartercare", "jeffrey-liebman" ] }, { "id": "display-claim-3c3fdab81cd1250a84902d61", "kind": "analysis", "text": "The Attorney General found that Centurion planned a fully leveraged acquisition in which the new CharterCARE entities would borrow about $160 million, $80 million of which would remain on the new system's books with the rest paid to PMH as the purchase price; the applicants represented total transaction debt of $193 million if the PACE loans were assumed. Under the amended agreement Centurion would pay PMH $80 million less a $5 million indemnity escrow, outstanding acquisition costs, a Centurion note, any assumed PACE balance and a working capital adjustment. Asked what would happen if the new system could not take on more debt, Centurion answered that it could not predict the system's response but that the system would do its best to resolve any challenges by working with its counterparts in the state; the Attorney General read this as shifting the risk of failure to the State and its taxpayers.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "centurion", "pmh" ] }, { "id": "display-claim-c46fb5565945333de6a0dbe9", "kind": "analysis", "text": "Veralon, the Attorney General's consultant, assessed that the confidential information memorandum H2C used to market the system contained financial statements that may have been misleading compared with actual performance, and that the historical data and testimony contradicted the notion of a history of profitability; it found that the system lost $9.6 million in fiscal 2019, $14.6 million in 2020, $16.8 million in 2021 and $29.3 million in 2022. The Attorney General found that the CharterCARE board and the PMH board, as seller, failed to sufficiently interrogate the transaction and Centurion's ability to meet the hospitals' needs, particularly after QHR's exit, and identified a perceived conflict of interest for PMH board members charged with ensuring the sale. The consultant noted that on November 8, 2022 the PMH board considered the Centurion and QHR offer, with Von Crockett presenting, and that it was unclear how the board decided to proceed after QHR withdrew; the board minutes cited are partly redacted.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-088" ], "entity_ids": [ "h2c", "prospect-chartercare", "pmh", "von-crockett", "centurion" ] }, { "id": "display-claim-6e0a6d65e7f29b02621b5100", "kind": "analysis", "text": "On June 20, 2024 Attorney General Peter F. Neronha conditionally approved the change of ownership from PMH to Centurion under the Hospital Conversions Act with 40 conditions, and on November 14, 2024 an amended decision changed four of them. The conditions required the parties to fund a $66.8 million Hospital Fund, to include the roughly $45 million remaining in the 2021 escrows with accrued interest if Leonard Green and Prospect assigned their rights in those funds; any debts owed by Centurion or the new system to Prospect after closing had to take the form of an unsecured subordinated note; and before closing Prospect had to release all liens and guarantees over CharterCARE assets securing its May 23, 2023 loan and pledge agreements with MPT TRS Lender PMH, LLC.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-025", "src-088" ], "entity_ids": [ "pmh", "centurion", "lgp", "mpt-trs-lender", "prospect-chartercare" ] }, { "id": "display-claim-87f3926c05586ba3dd56d913", "kind": "analysis", "text": "The sale was completed through the bankruptcy. On February 2, 2025 PMH announced an amended and restated purchase agreement to sell CharterCARE Health Partners, including the two hospitals, to Centurion and other nonprofit corporations, and on May 22, 2025 the bankruptcy court approved the assumption of the agreement, the Rhode Island reorganisation and the sale free and clear of interests. On October 30, 2025 the debtors moved for relief from the sale order and for authority to transfer the hospitals to the State of Rhode Island or, alternatively, to close them. On March 6, 2026 Centurion completed the acquisition of Roger Williams Medical Center, Our Lady of Fatima Hospital and related assets, financed with $101 million of private bonds raised through Bank of America under the sponsorship of the Rhode Island Health and Education Building Corporation and an $18 million supplemental reserve fund created by the state; the hospitals passed to a new nonprofit, CharterCARE Health of Rhode Island, with Ben Mingle as chairman and Liebman as chief executive.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-030", "src-033", "src-026" ], "entity_ids": [ "pmh", "centurion", "chri", "bank-of-america", "jeffrey-liebman" ] }, { "id": "display-claim-9b1c684ae177ea6b0b27689e", "kind": "analysis", "text": "The Supreme Court of Pennsylvania records that on January 8, 2016 Prospect acquired Delaware County Memorial Hospital and other assets from Crozer-Keystone Health System (now CKHS, Inc.) under an asset purchase agreement whose recitals expressed an intent to keep providing key services to vulnerable populations. PMH's chief restructuring officer dates the acquisition of Crozer-Keystone, Delaware County's largest employer and health care provider, to July 2016; Prospect CCMC LLC signed a recognition agreement with the nurses' union on June 16, 2016 and took over Crozer-Chester Medical Center on July 1, 2016. The Commonwealth Court quotes Section 11.16 of the agreement, under which the buyers may not sell or close any of the licensed hospitals for ten years after the effective time, subject to exceptions including a sale or closure required by a government entity; Delaware County's government describes it as a ten-year clause restricting closures. The agreement itself is not retained.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-072", "src-070", "src-002", "src-021", "src-083" ], "entity_ids": [ "pmh", "prospect-crozer", "ckhs", "prospect-ccmc" ] }, { "id": "display-claim-45bed666a00d3dfe210e2624", "kind": "analysis", "text": "A nonprofit research report stated that Prospect committed $56.6 million to establish the Crozer-Keystone Community Foundation but initially paid $32.9 million, and that in November 2017 an arbitrator ruled that Prospect still owed the foundation $23.7 million; the award is not retained. On February 26, 2020 the Third Circuit (Nos. 19-1439 and 19-1440) affirmed the refusal to vacate an arbitration award for the Crozer-Chester nurses' union: Prospect CCMC, having assumed its predecessor's collective bargaining agreement, had to let nurses keep vacation time accrued above 200% of the annual limit.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-040", "src-070" ], "entity_ids": [ "pmh", "prospect-ccmc" ] }, { "id": "display-claim-05313e28e33ef1dc12a1f4ac", "kind": "analysis", "text": "CKHS, Inc. and The Foundation for Delaware County sued PMH and Prospect Crozer, LLC to stop the conversion of Delaware County Memorial Hospital, and on October 11, 2022 the Delaware County Court of Common Pleas granted them a preliminary injunction, with the Attorney General's office joining on their side. On November 4, 2022 the Department of Health ordered PMH and Prospect Crozer to suspend emergency services and banned admissions at the hospital from November 7, 2022 because its failure to provide adequate diagnostic imaging was jeopardising patients' health and safety; the Connecticut Attorney General's draft complaint attributes the closure to understaffing, while the court record identifies inadequate imaging. On May 3, 2023 the Commonwealth Court (No. 1118 C.D. 2022) granted PMH and Prospect Crozer's appeal, in which Prospect challenged the finding of irreparable harm, and reversed the injunction. On January 22, 2025 the Supreme Court of Pennsylvania (Nos. 117 and 118 MAP 2023) reversed the Commonwealth Court, holding that it had misapplied the standard of review and that the record contained apparently reasonable grounds for the trial court's injunction, and remanded for further proceedings.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-083", "src-072" ], "entity_ids": [ "ckhs", "pmh", "prospect-crozer", "prospect-dcmh" ] }, { "id": "display-claim-a94101e9546c684c8cb7e030", "kind": "analysis", "text": "The December 2023 Senate Budget Committee letter states that in 2022 PMH suspended all services at the hospital, including the community's sole emergency room, and said it intended to convert it into a 100-patient behavioral health facility; that in March 2023 Crozer Health laid off 215 workers after reports that it could not pay vendors on time; and that after a lawsuit by the Pennsylvania Attorney General PMH agreed to sell its stake in Crozer Health. A litigation schedule filed with the Chapter 11 plan supplement lists a case in the Eastern District of Pennsylvania in which Prospect DCMH LLC, doing business as Delaware County Memorial Hospital, challenges the termination of the hospital's Medicare provider agreement by the Secretary of Health and Human Services. On February 9, 2024 the same court dismissed a pro se complaint against PMH, Samuel Sang-Bum Lee, Leonard Green & Partners and others concerning a patient's death at the hospital, for lack of a federal claim or established diversity jurisdiction, with leave to file an amended complaint.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-005", "src-079", "src-058" ], "entity_ids": [ "pmh", "prospect-dcmh", "hhs", "samuel-lee", "lgp" ] }, { "id": "display-claim-9f5b2865c3c59ad2e2deaedd", "kind": "analysis", "text": "On October 28, 2024 the Pennsylvania Attorney General's office sued PMH, Prospect Crozer, LLC, Leonard Green and Partners and two PMH directors, alleging mismanagement and neglect of Crozer Health and breaches of the purchase agreement, including cutting services, closing facilities and failing to fully fund pension accounts for Crozer Health retirees, and seeking the appointment of a receiver. That account of the allegations comes from PMH's chief restructuring officer; the defendants' answer is not retained. On October 31, 2024 the case, naming Prospect Crozer, PMH, David Topper, Samuel Lee and Leonard Green and Partners, was removed to the U.S. District Court for the Eastern District of Pennsylvania (No. 2:2024cv05853); Leonard Green and, on November 25, 2024, Lee and Topper filed notices consenting to removal, and the Attorney General moved to remand. The retained docket, last retrieved on December 16, 2024, ends with a stipulated order setting January 9, 2025 for oppositions to the amended remand motion; no merits ruling appears in it. On January 31, 2025 the debtors filed an emergency motion (Docket No. 332) to approve the private sale of the Pennsylvania hospitals free and clear of interests and a settlement among the debtors, the Attorney General, Lee and Topper under Bankruptcy Rule 9019. They withdrew it, and in their April 21, 2025 closure and sale supplement they stated that no viable bidder, operator or funding source had emerged for the hospitals as a whole.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-069", "src-080" ], "entity_ids": [ "pmh", "prospect-crozer", "lgp", "samuel-lee", "david-topper" ] }, { "id": "display-claim-68e4b6d4269d31525b3a2257", "kind": "analysis", "text": "On April 21, 2025 the debtors stated that, without any viable bidder, operator or third-party funding source, they had to begin closing the Pennsylvania hospitals while marketing the ambulatory surgery and imaging sites and owned real estate. On April 23, 2025 the bankruptcy court approved the closure of certain Pennsylvania hospitals and sale procedures; on July 3 it approved the sale of the ambulatory surgery and imaging sites, and on August 6, 2025 the abandonment of certain hospitals and the sale of others. The debtors' October 13, 2025 notice reported that after an auction on October 10 Chariot Allaire Partners LLC was the buyer of Crozer-Chester Medical Center for $10,000,000 and Restorative Health Foundation and Syan Investments the buyers of Springfield Hospital for $3,000,000, with Medical Properties Trust, Inc. consenting to both sales.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-080", "src-033", "src-035" ], "entity_ids": [ "pmh", "prospect-crozer", "chariot", "mpt" ] }, { "id": "display-claim-66e16a853de8ac7f646554f1", "kind": "analysis", "text": "Delaware County's government, which describes Prospect's conduct as years of mismanagement and financial exploitation, published its own status account: Crozer-Chester Medical Center closed on April 30, 2025 and Taylor Hospital on April 26, 2025; KQT Aikens Partners bought Taylor Hospital in September 2025, the Upper Darby School District bought Delaware County Memorial Hospital in August 2025, and Chariot Equities with Allaire Health Services bought Crozer-Chester in January 2026, while ChristianaCare bought Prospect's Crozer outpatient sites at auction in May 2025 and a first buyer of Springfield Hospital failed to close.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-021" ], "entity_ids": [ "pmh", "prospect-crozer", "kqt-aikens", "upper-darby-sd", "chariot", "christianacare" ] }, { "id": "display-claim-983b9a3d78571c5cc8bf161a", "kind": "analysis", "text": "According to PMH's own website, Prospect acquired Waterbury Hospital (357 beds) in 2016 and Eastern Connecticut Health Network, with Manchester Memorial Hospital (249 beds) and Rockville General Hospital (102 beds), in October 2016; PMH's chief restructuring officer also refers to the October 2016 network acquisition, in which Prospect assumed the network's employee retirement plan. The Rhode Island Attorney General's 2021 decision states that Prospect operated under a certificate-of-need settlement with the Connecticut Department of Public Health relating to the 2016 acquisition of the three hospitals (dockets 15-32017-486 for Waterbury and one for Manchester Memorial and Rockville General), which the department extended by 18 months, to May 2021, because of clinical and quality concerns; the Connecticut orders themselves are not retained. In testimony to the General Assembly's finance committee on March 15, 2019, PMH's Chief Regional Performance Officer, Kimberly A. Lumia, stated that the three hospitals employed 5,111 people, paid $3,163,000 in state sales tax and $6,302,342 in property taxes and provided $45,749,468 in community benefit; these are the company's own figures, and the provider-tax figure in the testimony is printed as “$40,487,00” and cannot be read reliably.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-039", "src-002", "src-003", "src-105" ], "entity_ids": [ "pmh", "prospect-echn", "prospect-waterbury", "prospect-manchester", "prospect-rockville", "kim-lumia" ] }, { "id": "display-claim-4a327aaec6d3c74596805a8a", "kind": "analysis", "text": "In its annual affiliate report to Connecticut's Office of Health Care Access of March 9, 2017, Prospect ECHN, Inc. listed its acute-care hospitals, Prospect Manchester Hospital, Inc. (The Manchester Memorial Hospital) and Prospect Rockville Hospital, Inc. (The Rockville General Hospital, Vernon), and as affiliates Prospect CT Medical Foundation, Inc., which operates its physician practices, and Prospect ECHN Home Health, Inc. (Visiting Nurse and Health Services of Connecticut); it identified Prospect CT, Inc. as the foundation's Connecticut parent. Prospect ECHN's 2025 petition lists Prospect CT, Inc. as holder of all of its equity. Connecticut's business registry, in records retrieved in October 2026, lists Prospect Waterbury, Inc. (registered April 8, 2016) and Prospect Manchester Hospital, Prospect Rockville Hospital and Prospect ECHN (registered April 12, 2016) as active stock corporations classified as general hospitals, each with PMH's address at 3824 Hughes Ave., Culver City, as its business address.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-015", "src-006", "src-059", "src-016", "src-017", "src-029", "src-028" ], "entity_ids": [ "prospect-echn", "prospect-manchester", "prospect-rockville", "prospect-ct", "prospect-ct-medical-foundation", "prospect-echn-home-health", "pmh", "prospect-waterbury", "ynhh" ] }, { "id": "display-claim-9702c160a59b825c8b347ffc", "kind": "analysis", "text": "On October 5, 2022 PMH and certain Connecticut affiliates agreed to sell the three hospitals and related facilities to Yale New Haven Health Services Corporation for $435 million in cash, subject to adjustments. On May 3, 2024 Yale sued in Connecticut Superior Court (No. HHD-CV24-6184328-S) for a declaration that it was not obliged to close because Prospect had breached covenants and could not meet closing conditions; Prospect had applied for a prejudgment remedy against Yale. In July 2024 the parties stipulated, to expedite trial, that the base price would fall by at least $23.5 million and that Yale would keep at least $411.5 million in an account at Northern Trust. That account of Yale's claims is set out in its bankruptcy filings. PMH's chief restructuring officer described Yale's allegations of financial non-viability and material adverse change as a pretext to justify a price reduction, and stated that Yale breached the agreement and failed to close.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-059" ], "entity_ids": [ "pmh", "ynhh", "prospect-echn", "prospect-waterbury" ] }, { "id": "display-claim-5db05c0aeebf1e31c9f92d7f", "kind": "analysis", "text": "On January 22, 2025 the Connecticut debtors removed Yale's suit to the U.S. District Court for the District of Connecticut (No. 3:25-cv-105-MPS) and asked for its transfer to the Northern District of Texas; on July 22, 2025 the federal court granted Yale's abstention motion and remanded the case to the Superior Court. In their counterclaims the debtors acknowledged that the City of Waterbury had filed liens against Waterbury Hospital and that there were publicly filed notices of liens on their assets. In August 2025 PMH moved in the bankruptcy court to assume the purchase agreement with Yale, with objections due by September 11, 2025.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-059", "src-033" ], "entity_ids": [ "pmh", "ynhh", "prospect-waterbury" ] }, { "id": "display-claim-9cb7843751be15f2598ad0f7", "kind": "analysis", "text": "The Connecticut Attorney General states, in a draft complaint whose claims have not been adjudicated, that PMH stopped paying the state's hospital tax in spring 2022 and that on December 18, 2023 the state filed tax liens on PMH for $67 million of unpaid taxes; that PMH reportedly owes the Pension Benefit Guaranty Corporation at least $4 million in missed pension contributions, for which liens were filed; and that PMH failed to pay Medical Properties Trust at least $56 million of accrued rent and interest. A December 2025 news report states that the Department of Revenue Services claims $257 million in unpaid provider taxes from Prospect. The draft complaint also reports that in June 2022 North American Partners in Anesthesia (Connecticut), P.C., Waterbury Hospital's sole anesthesia provider, sued PMH's subsidiary for more than $3.2 million of unpaid services from October 2020 to October 2021, and that the Connecticut Hospital Association sued PMH for breach of contract over an unpaid balance of about $1.7 million; the outcomes of these suits are not in the retained records. Agiliti Health, Inc. sued Prospect Waterbury, Inc. in the Central District of California in January 2024 (No. 2:2024cv00457) for breach of contract over unpaid invoices, and after Prospect Waterbury did not respond the clerk entered its default on February 27, 2024.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-081", "src-096", "src-075" ], "entity_ids": [ "pmh", "mpt", "napa-ct", "prospect-waterbury", "cha", "agiliti" ] }, { "id": "display-claim-1c8a0a7e694f1d98aabcf0dc", "kind": "analysis", "text": "On July 9, 2025 the Attorney General's office filed proof of claim no. 2592 in the Chapter 11 case for unliquidated amounts, attaching a draft complaint by the State of Connecticut and Attorney General William Tong against PMH and Prospect Medical Systems, LLC in Hartford Superior Court. The draft pleads negligent misrepresentation to regulators in connection with the 2016 acquisition of the three hospitals, unjust enrichment, negligent performance of a special duty and violations of the state's Safeguards Law and Unfair Trade Practices Act, and seeks restitution, disgorgement and civil penalties. It describes Prospect Medical Systems as a Delaware limited liability company with its principal office in Orange, California, whose sole principal is PMH; PHP Holdings' July 2025 bankruptcy filings instead describe it as held through Prospect Intermediate Holdings, LLC under PHP Holdings. The draft also alleges that on July 31, 2023 an unauthorised actor entered Prospect Medical's systems through a Citrix NetScaler vulnerability and on August 3 deployed Rhysida ransomware, compromising data of 212,369 Connecticut residents, and that the hospitals diverted ambulances. A December 2025 news report, citing the complaint, adds the allegation that Prospect obtained at least $7.4 million in federal and $1.8 million in state COVID relief funds for Rockville General although no COVID patient was treated there as an inpatient, and that most of its 102 licensed beds were shut by 2022. These are claims in a draft complaint attached to a proof of claim; no adjudication appears in the retained records, and the same December 2025 report quotes the Attorney General's spokesperson as saying the office was pursuing the claims, would add defendants if appropriate and was keeping its investigation open.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-081", "src-096" ], "entity_ids": [ "pmh", "prospect-medical-systems-llc", "prospect-rockville" ] }, { "id": "display-claim-f25a1202d874ea147d194ab9", "kind": "analysis", "text": "The debtors' monthly operating report for July 2025, signed by chief restructuring officer Paul Rundell, shows net intercompany cash outflows that month of $15,337,609 from the Connecticut companies and $14,556,562 from PMH and corporate entities, and inflows of $20,582,033 to the Rhode Island companies, $5,936,013 to California, $1,900,000 to Pennsylvania and $1,476,126 to the physician companies; consolidated bank cash fell from $74,537,820 to $64,258,605. A December 2025 news report calculated from the debtors' filings that from the January 2025 filing to the end of July 2025 a total of $58.7 million was drawn from the Connecticut operations as intercompany activity, and that the Connecticut system's days of cash on hand fell to zero.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-097", "src-096" ], "entity_ids": [ "pmh", "paul-rundell" ] }, { "id": "display-claim-65cb4e348a8a684af4a571d3", "kind": "analysis", "text": "The confirmed Chapter 11 plan defines the Connecticut ECHN assets, including Rockville General and Manchester Memorial, as sold under an asset purchase agreement between PMH, Prospect CT, Prospect ECHN, the two hospital companies and Prospect CT Medical Foundation as sellers and ECHN Holdings, Inc. as purchaser; a December 31, 2025 transition services agreement identifies the buyer as Manchester Memorial Hospital, Inc., a Connecticut nonprofit formerly known as ECHN Holdings, Inc., and dates the purchase agreement September 12, 2025. On November 6, 2025 the debtors selected UCHCFC Waterbury Health Corp. as stalking-horse bidder for Waterbury Hospital and signed a purchase agreement with it; no other qualified bids were received by November 14. The final price was $13,000,000 in cash: $4,000,000 plus landlord deposits for the operating assets and $9,000,000 for the real estate sold by its Medical Properties Trust owner, under a master agreement among Prospect Waterbury, PMH, MPT of Waterbury PMH, LLC and MPT Operating Partnership, L.P. Liabilities under the Waterbury Hospital Cash Balance Plan and other plans for which the Pension Benefit Guaranty Corporation is statutory trustee were excluded and did not pass to the buyer.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079", "src-012" ], "entity_ids": [ "pmh", "prospect-ct", "prospect-echn", "prospect-rockville", "prospect-manchester", "prospect-ct-medical-foundation", "echn-holdings", "uchcfc-waterbury", "prospect-waterbury", "mpt-waterbury", "mpt-op" ] }, { "id": "display-claim-3c25fbdbbc2e18a08a1fd665", "kind": "analysis", "text": "At the January 2025 petition date PMH's chief restructuring officer listed seven California hospitals among the 16 owned and operated by Prospect: Los Angeles Community Hospital, Southern California Hospital at Van Nuys, Los Angeles Community Hospital at Norwalk, Southern California Hospital at Hollywood, Southern California Hospital at Culver City, Foothill Regional Medical Center in Tustin and Los Angeles Community Hospital at Bellflower, noting that Foothill is managed by, but not directly owned by, PMH. PMH's website, a company self-description, states that Brotman Medical Center became Southern California Hospital at Culver City, a 420-bed general acute care hospital, which later combined with two sister facilities to form Southern California Hospitals System, and that PMH acquired a hospital in Tustin in May 2014. The corporate ownership statement in the January 11, 2025 petition of Alta Hospitals System, LLC lists PMH as holder of 100% of its equity.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-039", "src-050" ], "entity_ids": [ "pmh", "brotman", "schs", "alta-hospitals-system" ] }, { "id": "display-claim-2c476ca2b7c5d6001291d58e", "kind": "analysis", "text": "Southern California Healthcare System, Inc., Alta Los Angeles Hospitals, Inc. and Alta Hospitals System, LLC, as borrowers, had a $90 million revolving credit facility from eCapital Healthcare Corp. under a credit and security agreement entered into on June 5, 2024, secured by substantially all of the assets and equity of the California hospitals other than Foothill Regional Medical Center. Alta Los Angeles Hospitals and Southern California Healthcare System also entered into PACE assessment contracts dated July 19, 2019 with the California Statewide Communities Development Authority; the August 2025 sale order treats the authority's lien on the Medical Properties Trust real estate as a permitted lien that survives the sale and requires the buyer to pay delinquent instalments.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-034" ], "entity_ids": [ "schs", "alta-los-angeles", "alta-hospitals-system", "ecapital", "cscda", "mpt" ] }, { "id": "display-claim-54c0b5171950b6db002bbe92", "kind": "analysis", "text": "The Connecticut Attorney General's draft complaint, citing press reports, states that in 2015 CMS issued an “Immediate Jeopardy” finding against Southern California Hospital at Culver City; that a 2018 California inspection found its pharmacy staff had ignored contamination findings in sterile compounding equipment, leading to about 21,000 doses of “adulterated dangerous drugs” being dispensed over nine months; and that in September 2019 California's attorney general charged PMH executives, including Samuel Lee, the hospital and its supervising pharmacists with gross negligence and sought to revoke or suspend the hospital's pharmacy permit. These allegations are repeated from press reports; the California accusation itself and its outcome are not in the retained records. A 2020 investigative report states that Prospect asserted that “no patient harm occurred” from the “error”, which had been corrected, and that the pharmacy was “fully operational”; that report described the matter as still pending, and no later outcome appears in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-081", "src-094" ], "entity_ids": [ "pmh", "samuel-lee", "schs" ] }, { "id": "display-claim-eb27411320211779fa71d2b5", "kind": "analysis", "text": "On August 3, 2025 the debtors selected NOR Healthcare Systems Corp., a wholly owned subsidiary of Healthcare Systems of America, as stalking-horse bidder for the California assets and signed an asset purchase agreement. It names NOR, a Nevada corporation, as purchaser and PMH as seller parent and seller representative for Alta Hospitals System, Southern California Healthcare System (Southern California Hospital at Hollywood, Van Nuys and Culver City), Alta Los Angeles Hospitals (Los Angeles Community Hospital, Norwalk and Bellflower) and Coordinated Regional Care Group, LLC; it was signed for PMH by chief restructuring officer Paul Rundell and defines the sellers' knowledge as that of Von Crockett and Alfredo Sabillo. Notices to the purchaser go to 505 North Brand Blvd, Glendale, for the attention of Faisal Gill, and the agreement records a confidentiality agreement of February 18, 2025 between PMH and Healthcare Systems of America. The consideration was the assumption of liabilities plus cash equal to the borrowing base under the eCapital credit line, or the difference after the eCapital debt was repaid or assumed. The debtors' notice stated that NOR had no connections to them other than those arising from its stalking-horse bid.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-023", "src-034" ], "entity_ids": [ "pmh", "nor", "hsa", "ecapital", "alta-hospitals-system", "schs", "alta-los-angeles", "crcg", "paul-rundell", "von-crockett", "alfredo-sabillo", "faisal-gill" ] }, { "id": "display-claim-8844c7736a7c8931d481b868", "kind": "analysis", "text": "The parties were to file a Hart-Scott-Rodino notification and a material-transaction notice with California's Office of Health Care Affordability. At closing NOR was to receive a new lease of the Medical Properties Trust real estate and enter an interim lease-back and an interim management agreement under which it would manage the hospitals until the licences were transferred; the California hospitals' Medicare advance repayment obligations listed in the sale order totalled $17,493,666.81. On August 29, 2025, after a hearing the day before, the U.S. Bankruptcy Court for the Northern District of Texas approved the sale free and clear of interests to NOR as the highest offer, for the assumed liabilities, cash equal to the eCapital borrowing base (or the eCapital payoff alternative) and an additional $8.5 million in cash, and found that the purchaser acted in good faith without collusion and was not an insider or affiliate of the debtors.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-034" ], "entity_ids": [ "nor", "mpt", "pmh", "schs", "alta-los-angeles", "ecapital" ] }, { "id": "display-claim-5bc4472bd8427288288c1b6c", "kind": "analysis", "text": "An August 12, 2025 trade-press report, drawing on the company's business registration, stated that NOR had been registered in Nevada three months earlier and named as a director Michael Sarian, who served as senior vice president of Prospect's hospital operations from 2005 to 2012, and listed the six hospitals offered: Bellflower Behavioral Health Hospital, Los Angeles Community Hospital, Norwalk Community Hospital, Southern California Hospital at Culver City, Southern California Hospital at Hollywood and Van Nuys Behavioral Health Hospital. The publication reported that Prospect did not respond to requests for comment about possible sale terms and that HSA, Prospect, MPT and NOR did not respond to requests for comment on the article. A U.S. Federal Trade Commission early-termination notice dated September 29, 2025 (transaction 20251865) names Mike Sarian as the acquiring party and Sang Bum (Samuel) Lee as the acquired party, with Alta Hospitals System, Southern California Healthcare System and Alta Los Angeles Hospitals as the acquired entities; under the FTC's listing format the acquired party is the ultimate parent entity of the companies sold, and the notice does not describe ownership percentages.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-022", "src-049" ], "entity_ids": [ "nor", "michael-sarian", "pmh", "samuel-lee", "alta-hospitals-system", "schs", "alta-los-angeles" ] }, { "id": "display-claim-3d51c4a962ca24bd2b7bbdce", "kind": "analysis", "text": "Healthcare Systems of America's website, a company self-description, presents Michael Sarian as its chairman and chief executive, previously President of Hospital Operations at Prime Healthcare Management, and as having been chief executive officer and vice president of finance of organisations including Prospect/Alta Hospital System Inc. Findings of fact in In re Prime Healthcare ERISA Litigation (C.D. Cal., No. 8:20-cv-1529) list members of Prime's 401(k) plan committee including Mike Heather, Prime's chief financial officer, from 2013 to 2020, Heather's successor Steve Aleman and Sarian, Prime's President of Hospital Operations, from 2012 to 2020; after a bench trial in April 2024 the court concluded that the defendants had used a prudent process in managing the plan. A company-data profile describes Heather as PMH's former chief financial officer, who led its 2005 initial public offering and joined Prime in August 2013. In a July 5, 2023 stipulation with California's Attorney General in the bankruptcy of Beverly Community Hospital Association, Sarian signed as chairman and chief executive of American Healthcare Systems Foundation Inc., a North Carolina nonprofit selected as the winning bidder for the Montebello hospital's assets, and Faisal Gill signed as its counsel.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-061", "src-098", "src-060", "src-087" ], "entity_ids": [ "michael-sarian", "hsa", "prime", "alta-hospitals-system", "mike-heather", "pmh", "ahsf", "faisal-gill" ] }, { "id": "display-claim-f5a3819c3512f540fb43ef8e", "kind": "analysis", "text": "A June 2026 trade-press report describes Sarian as founder and majority owner of multiple hospital companies and a legal battle over governance at Healthcare Systems of America, American Healthcare Systems and NOR. It states that HSA and five affiliated Florida hospitals sued Sarian in Miami-Dade County Circuit Court on June 11, 2026, alleging that Sarian diverted at least $14 million from HSA corporate accounts between September 2024 and January 2026 to personal accounts, the Sarian Family Trust and related entities; that other filings allege that Illinois supplemental hospital funding was redirected, including toward a proposed acquisition of PMH's California hospitals; and that Faisal Gill and Aramais Paronyan, MD removed Sarian from leadership roles at HSA and NOR. The publication states that these allegations in pending lawsuits have not been proven and that no court has made findings on the merits. Sarian strongly disputes them, said that moving funds among hospitals was normal cash management and denied taking money improperly, and Sarian's lawyers filed an amended complaint in California on June 23, 2026 alleging that Gill and Paronyan unlawfully sought to seize control of Sarian's businesses.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-051" ], "entity_ids": [ "michael-sarian", "hsa", "nor", "faisal-gill", "pmh", "ahs-inc" ] }, { "id": "display-claim-d870f04172f32147375e8e50", "kind": "analysis", "text": "PMH's affiliated California medical groups were held through nominee physician shareholders. Jacob Terner resigned as nominee shareholder, officer and director of Prospect Medical Group effective August 8, 2008 and was replaced by Osmundo R. Saguil, M.D.; from November 26, 2008 Arthur Lipper, M.D. replaced Dr. Saguil and was also appointed a vice president of PMH and of each of its direct and indirect subsidiaries other than Alta. Under a stock purchase agreement of that date among Dr. Lipper as buyer, Dr. Saguil as seller, Prospect Medical Group, Inc. (a California professional corporation) and Prospect Medical Systems, Inc., Dr. Lipper acquired the 4,000 shares representing all of Prospect Medical Group, and a related option agreement gave Prospect Medical Group an assignable option over the Nuestra Familia Medical Group shares that Dr. Lipper held of record. The PMH report recording these changes states that under an assignable option agreement among Prospect Medical Systems, Prospect Medical Group and the nominee, Prospect Medical Systems could change the owner of Prospect Medical Group at any time, and that Prospect Medical Group owned 55% of Nuestra Familia. Dr. Lipper had for several years been a director of Nuestra Familia and medical director of Prospect Health Source Medical Group, both affiliated physician organisations.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-031", "src-046", "src-056" ], "entity_ids": [ "jacob-terner", "pmg", "osmundo-saguil", "arthur-lipper", "pmh", "nuestra-familia", "phsmg", "pms-inc" ] }, { "id": "display-claim-bfa774f3be67c07160d2922a", "kind": "analysis", "text": "PMH's fiscal-2010 annual report states that Dr. Lipper served as nominee shareholder of Prospect Medical Group and Nuestra Familia, as sole director of Prospect Medical Group and its subsidiary physician organisations and as their chief executive officer, president and treasurer (except the ProMed Entities), as one of two directors of Nuestra and as sole director of the ProMed Entities. Its March 2011 quarterly report states that all the affiliated medical groups were wholly owned by Prospect Medical Group except Nuestra, 62% owned by the nominee physician shareholder under an assignable option agreement, and AMVI/Prospect, a 50/50 joint venture between AMVI Care Health Network, Inc. and a Prospect medical group, and that Prospect Medical Group itself was owned by the same nominee, Dr. Lipper, under a separate assignable option agreement; it lists Prospect Medical Group as sole shareholder of the other affiliates, including Prospect Health Source Medical Group, Prospect NWOC Medical Group and Upland Medical Group.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041" ], "entity_ids": [ "arthur-lipper", "pmg", "nuestra-familia", "promed-hsc", "amvi", "phsmg", "prospect-nwoc", "upland" ] }, { "id": "display-claim-d0279bb0f29a1b28b3cce777", "kind": "analysis", "text": "Prospect Medical Systems, Inc. administered claims payments under a risk-sharing arrangement between Prospect Medical Group and Brotman under an administrative services agreement dated October 1, 2005 and amended October 1, 2009; the fees were eliminated in consolidation. A provider registry entry created on April 2, 2007 and last updated on July 31, 2008 lists Prospect Northwest Orange County Medical Group Inc. with Catherine S. Dickson as chief executive and authorised official. PMH disclosed that its affiliated medical groups paid the “Prasad Entities”, controlled by director and Ivy Holdings shareholder Dr. Jeereddi A. Prasad and including Chaparral Medical Group, Inc., about $12,001,000 in fiscal 2008, $12,267,000 in fiscal 2009 and $14,254,000 in fiscal 2010; its March 2011 quarterly report states that the ProMed Entities paid a physician group in which one of their officers held an interest about $3.7 million and $7.3 million in the three and six months to March 31, 2011.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-074", "src-041" ], "entity_ids": [ "pms-inc", "brotman", "pmg", "prospect-nwoc", "catherine-dickson", "jeereddi-prasad", "chaparral", "pmh", "promed-hsc" ] }, { "id": "display-claim-0a1c593a8528f2f932965bc3", "kind": "analysis", "text": "PMH's chief restructuring officer describes the group as more than 100 entities divided into HospitalCo, PMH and its hospital subsidiaries, and PhysicianCo, PHP Holdings and its subsidiaries, which were not debtors in January 2025. PMH owned 51% of PHP Holdings; PHP Holdings' July 2025 Chapter 11 petition lists the other equity holder as MPT Picasso Investors TRS, LLC (49%) of Birmingham, Alabama. Prospect Healthcare Facilities Management, LLC, a wholly owned PMH subsidiary, was the member-manager of PHP Holdings and the manager of Foothill Regional Medical Center. PMH sponsored PhysicianCo employees' benefit plans, provided PHP Holdings with services under enterprise and vendor agreements and administrative services under a support services agreement, and certain PMH employees held transaction bonus agreements triggered by a change of control of PhysicianCo.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-092" ], "entity_ids": [ "pmh", "php-holdings", "phfm", "mpt-picasso" ] }, { "id": "display-claim-0f0f3b47c36d9ecb58c32b54", "kind": "analysis", "text": "On July 7, 2025 the board of managers of Prospect Healthcare Facilities Management, acting for itself and as manager of PHP Holdings, the sole member of Prospect Intermediate Holdings, LLC (itself sole member of Prospect Medical Systems, LLC and other physician companies), comprised Samuel S. Lee, Mitchell Lew, M.D., Von Crockett, Elizabeth Abrams, Alan Carr and Sherman Edmiston. The same day the bankruptcy resolutions of Prospect Medical Group, Nuestra Familia, Prospect NWOC, Upland and other California medical groups were signed by Dr. Lew as their board of directors, and Prospect Medical Group, as shareholder of Prospect Health Source Medical Group, acted through Crockett as senior vice president.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-092" ], "entity_ids": [ "phfm", "php-holdings", "prospect-medical-systems-llc", "samuel-lee", "mitchell-lew", "von-crockett", "elizabeth-abrams", "alan-carr", "sherman-edmiston", "pmg", "nuestra-familia", "prospect-nwoc", "upland", "phsmg" ] }, { "id": "display-claim-ca04fc54218b08482b00148f", "kind": "analysis", "text": "Prospect signed an asset and equity purchase agreement dated November 8, 2024 with Astrana Health, Inc. for the PhysicianCo business, for about $745 million before adjustments. Astrana reported that on July 1, 2025 it completed the purchase of all equity of Prospect Health Plan, Inc. and Alta Newport Hospital, LLC (doing business as Foothill Regional Medical Center) and substantially all assets of certain PHP Holdings subsidiaries, with PHP Holdings, PHS Holdings, LLC, Prospect Intermediate Holdings, Prospect Provider Group RI, LLC and others as sellers and PMH as seller representative. Under a side letter of the same date Astrana retained $35,500,000 as a buyer credit deducted from the price instead of funding an escrow, and reduced the closing payment by $1,000,000 for its legal costs relating to PMH's insolvency; Crockett signed for PHP Holdings, through its manager Prospect Healthcare Facilities Management, and for the other sellers.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-020", "src-027" ], "entity_ids": [ "astrana", "php-holdings", "pmh", "prospect-health-plan", "alta-newport-llc", "von-crockett", "phfm", "prospect-medical-systems-llc" ] }, { "id": "display-claim-eb690d40c3ab0b46474a1a49", "kind": "analysis", "text": "On July 7, 2025 the physician companies not sold to Astrana filed Chapter 11 petitions to wind down, including PHP Holdings, LLC (No. 25-80157), Prospect Intermediate Holdings, ProMed Health Care Administrators (25-80161), Prospect Medical Systems, LLC (25-80162), Prospect Medical Group, Inc. (25-80170), Nuestra Familia Medical Group, Inc. (25-80179), Upland Medical Group (25-80174), Prospect NWOC Medical Group, Inc. (25-80176) and Prospect Health Source Medical Group, Inc. (25-80181). Chaparral Medical Group Inc., Dr. Prasad's practice in Pomona, appears among the largest unsecured creditors of PHP Holdings and the other physician debtors with a trade payable of $94,513.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-030", "src-036", "src-066", "src-092", "src-001" ], "entity_ids": [ "php-holdings", "promed-hca", "prospect-medical-systems-llc", "pmg", "nuestra-familia", "upland", "prospect-nwoc", "phsmg", "pmh", "chaparral", "jeereddi-prasad" ] }, { "id": "display-claim-62a042794b18d04bfb46bd49", "kind": "analysis", "text": "Beginning on January 11, 2025 PMH and affiliated debtors filed voluntary Chapter 11 cases in the U.S. Bankruptcy Court for the Northern District of Texas, jointly administered under PMH's case, In re Prospect Medical Holdings, Inc., No. 25-80002 (SGJ). The hospital debtors filed on January 11, 2025, among them Alta Hospitals System, Prospect East Holdings, Hospital Advisory Services, Prospect CT, Prospect CharterCARE, Prospect CharterCARE RWMC, Prospect CharterCARE SJHSRI, Alta Los Angeles Hospitals, Southern California Healthcare System, Prospect Oldco NJ, Prospect Crozer, Prospect CCMC, Prospect DCMH, Prospect Waterbury, Prospect ECHN, the Rockville and Manchester hospital companies, Coordinated Regional Care Group and Prospect East Hospital Advisory Services. The physician debtors followed on July 7, 2025 and the top-level holding debtors on September 19, 2025: Chamber Inc. (No. 25-33651), Ivy Holdings Inc. (25-80482) and Ivy Intermediate Holding Inc. (25-80483). PMH's chief restructuring officer stated that each debtor is an affiliate because PMH directly or indirectly owns or controls 20% or more of its outstanding voting securities. The 30 largest unsecured creditors in Alta Hospitals System's petition include Cerner Corporation, MPT Operating Partnership LP, the California Department of Health Care Services and the Centers for Medicare & Medicaid Services.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-035", "src-033", "src-006", "src-036", "src-050" ], "entity_ids": [ "pmh", "alta-hospitals-system", "prospect-east-holdings", "has-inc", "prospect-ct", "prospect-chartercare", "alta-los-angeles", "schs", "prospect-oldco-nj", "prospect-crozer", "prospect-waterbury", "prospect-echn", "pcc-rwmc", "pcc-sjhsri", "prospect-ccmc", "prospect-dcmh", "prospect-rockville", "prospect-manchester", "crcg", "pehas", "chamber", "ivy-holdings", "ivy-intermediate", "mpt-op" ] }, { "id": "display-claim-f4e83da37b48f1aec959c50e", "kind": "analysis", "text": "Paul Rundell, a managing director of Alvarez & Marsal North America, LLC, has been chief restructuring officer of PMH and the other debtors since January 11, 2025, and Alvarez & Marsal is the debtors' financial adviser; the Rhode Island Attorney General's 2024 consultant had noted that PMH recently engaged Alvarez & Marsal to identify and implement revenue-cycle improvements. At the petition date PMH's board had six directors: Samuel Lee, Von Crockett, David Topper, Mitchell Lew and the independent directors Alan Carr and Jeremy Rosenthal. On October 4, 2024 PMH had created a special committee and appointed Carr and Elizabeth Abrams as independent directors. On January 20, 2025 PMH formed a Transaction Committee whose voting members were Carr, Rosenthal (chair) and chief executive Von Crockett, with Rundell and general counsel Frank Saidara as advisory members; Rosenthal is a partner of Force 10 Partners, a restructuring advisory firm.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-088", "src-068" ], "entity_ids": [ "paul-rundell", "alvarez-marsal", "pmh", "samuel-lee", "von-crockett", "david-topper", "mitchell-lew", "alan-carr", "jeremy-rosenthal", "elizabeth-abrams", "frank-saidara", "force10" ] }, { "id": "display-claim-a78b140861fbaf460bf20f63", "kind": "analysis", "text": "The chief restructuring officer estimated in the first-day declaration that at the petition date the debtors had about 12,500 employees and employee-related obligations of $229.6 million, including $112.6 million of benefits of which $47.8 million were retirement benefits, and that they owed nearly $48 million in underfunded 401(k) matching contributions, which they described as an ERISA violation. Their cash management system comprised 194 bank accounts at eight banks with about $3.35 million of cash at the petition date; receivables from the facilities were collected into a master account and PMH paid payroll and vendors on behalf of other debtors, creating intercompany receivables and payables among debtors and non-debtor affiliates. At the outset of the case JMB Capital Partners Lending, LLC committed to provide $100.0 million of new-money debtor-in-possession financing.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002" ], "entity_ids": [ "pmh", "jmb" ] }, { "id": "display-claim-4385fb83f44afb1a735becc0", "kind": "analysis", "text": "According to PMH's chief restructuring officer, on October 30, 2023 the U.S. Department of Justice issued a civil investigative demand to PMH under the False Claims Act alleging that PMH upcoded certain secondary diagnoses on inpatient claims submitted to federal health programmes, and on May 17, 2024 a second demand to Prospect Medical Systems, LLC, a non-debtor subsidiary of Prospect Intermediate Holdings, alleging false diagnosis codes submitted to increase risk-adjusted payments. The chief restructuring officer also stated that the Connecticut Department of Consumer Protection issued two civil investigative demands under the state's Unfair Trade Practices Act: on January 11, 2024, regarding a breach of Prospect Medical Systems' electronic files and an allegation that it failed to safeguard patient information after the August 2023 cybersecurity incident, and on April 19, 2024 to Prospect Medical Systems regarding hospital funding practices. A civil investigative demand is an investigative request and does not establish a violation; no outcome of these inquiries appears in the retained records. Class actions by people affected by the 2023 data breach against PMH and Southern California Hospital Healthcare System Inc were consolidated as In re Prospect Medical Holdings Inc Data Breach, No. 2:2023cv04936, in the Eastern District of Pennsylvania (Judge Wendy Beetlestone), filed on December 13, 2023; the retained docket record does not show the outcome.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-085" ], "entity_ids": [ "pmh", "prospect-medical-systems-llc", "schs" ] }, { "id": "display-claim-42293852ee4e71cde7c97dd9", "kind": "analysis", "text": "An April 2026 investigative report, citing state officials, states that Prospect failed to pay state and local governments more than $135 million in taxes, did not pay vendors for equipment, services and supplies, and closed four safety-net hospitals in a Philadelphia suburb that it had promised to keep open; it also reports that Prospect's insurance subsidiaries were based in Vermont and the Cayman Islands and that Rhode Island's Department of Business Regulation acknowledged that Prospect had filed no self-insurance documents since 2019 despite self-insuring. The tax total is the publication's figure.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-089" ], "entity_ids": [ "pmh" ] }, { "id": "display-claim-fbb37c9d1129345ddbdb2393", "kind": "analysis", "text": "The chief restructuring officer recounts that the group expanded into Texas in February 2012 with the Nix Health Care System and into New Jersey in March 2016 with East Orange General Hospital, that losses led Prospect to close its San Antonio hospitals in 2019 and sell its Texas real estate in 2020, and that in October 2021 Prospect OldCo NJ, Inc. (formerly Prospect EOGH, Inc.) sold East Orange General Hospital to EOH Acquisition Group, LLC. A schedule to the exit financing lists suits brought by PMH that continue after the plan: Prospect Medical Holdings, Inc. v. EOH Real Estate Holdings, Inc. in the New Jersey Superior Court (Essex County, ESX-L-02160-23), alleging breach of the implied covenant and seeking to pierce the corporate veil, and a suit by PMH and Prospect OldCo NJ in Los Angeles Superior Court (22STCV27936) alleging fraud and unfair competition. These are PMH's claims as plaintiff; their merits and outcomes are not in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-079" ], "entity_ids": [ "pmh", "prospect-oldco-nj", "eoh-acquisition", "eoh-real-estate" ] }, { "id": "display-claim-bbbec54609f15095c7d5d268", "kind": "analysis", "text": "In a December 11, 2025 declaration, Transaction Committee chair Jeremy Rosenthal stated that an investigation with counsel from Katten examined transactions from 2018 to 2021 in which PMH transferred about $203.6 million in total to certain current directors and officers or entities they control; the committee concluded that the debtors have viable claims relating to some of these transfers, and that $199.4 million of the $203.6 million went to David Topper and Samuel Lee, who were therefore excluded from the plan's releases. This is the committee's conclusion that claims are viable, not a court finding, and no judgment on these claims appears in the retained records. In their July 2025 operating report the debtors stated that all post-petition payments by the hospital and physician debtors to insiders were limited to ordinary-course wages and benefits.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-068", "src-097" ], "entity_ids": [ "pmh", "jeremy-rosenthal", "david-topper", "samuel-lee" ] }, { "id": "display-claim-c19b0050d4af165b0396da5f", "kind": "analysis", "text": "The plan's Non-Released Parties Schedule, filed on October 1, 2025, provides that persons including Lee, Topper, the David & Alexa Topper Family Trust, Leonard Green & Partners, Green Equity Investors V, L.P., Green Equity Investors Side V, L.P., Ivy LGP Co-Invest LLC, the former Leonard Green directors Alyse M. Wagner, Michael Solomon and John Baumer, and former executives including Mike Heather, Jeereddi Prasad, Mark Johnson, Michael Sarian, Donna Vigil and George D. Pillari are not released parties; the debtors reserved the right to modify the schedule. Exclusion from the releases preserves possible estate claims; it is not a finding of liability. Under the plan supplement, the estate's causes of action against these parties, including avoidance actions and claims for breach of fiduciary duty, aiding and abetting, unlawful dividends and unjust enrichment, pass to the GUC Trust. Leonard Green and its affiliates did not respond to a December 2025 newspaper request for comment on the designation. A December 2025 newspaper report states that at a hearing that month Judge Stacey Jernigan noted that Leonard Green, Lee and Topper had been named non-released parties, and that an attorney for the trust managing Prospect's assets said people would have causes of action brought and the trust would work to bring as much money back in when the time was right; no such suit appears in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-093", "src-096", "src-079" ], "entity_ids": [ "samuel-lee", "david-topper", "topper-trust", "lgp", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "alyse-wagner", "michael-solomon", "john-baumer", "mike-heather", "jeereddi-prasad", "mark-johnson", "michael-sarian", "donna-vigil", "george-pillari", "pmh", "guc-trust" ] }, { "id": "display-claim-4b4eb06c6b5d97f0985ed075", "kind": "analysis", "text": "An April 2026 investigative report states that the bankruptcy court approved $10 million to pursue claims against former Prospect principals, with Leonard Green, Lee and Topper as the main targets, and quotes the unsecured creditors' committee counsel, Charles Persons, telling the court at a December 12 hearing that potentially hundreds of millions of dollars could be recovered; it also reports that the bankruptcy automatically stayed more than 300 lawsuits seeking more than $800 million in damages. The court order approving the funding is not among the retained records. The report states that Leonard Green declined to respond to its questions, that Lee could not be reached for comment and that Topper answered “no comment”.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-089" ], "entity_ids": [ "pmh", "lgp", "samuel-lee", "david-topper" ] }, { "id": "display-claim-fb92f6dc3b087af5a67050c7", "kind": "analysis", "text": "The debtors filed their first plan and disclosure statement on May 23, 2025, and the United States Trustee objected to the disclosure statement on June 18, 2025. A joint plan was filed on August 27, 2025 (Docket No. 2986); the next day the court approved the disclosure statement and set a confirmation hearing for October 14, 2025, later adjourned. After further amendments the court confirmed the Amended Joint Chapter 11 Plan on December 15, 2025. On March 6, 2026 the debtors gave notice that the Second Amended Joint Chapter 11 Plan had become effective; the notice states that the court approved the plan's release, exculpation and injunction provisions and that the plan binds the debtors, the plan administrator, the GUC Trust and its trustee and all holders of claims and interests.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-066", "src-012", "src-067" ], "entity_ids": [ "pmh", "us-trustee", "guc-trust" ] }, { "id": "display-claim-e7c5af72d053e8274ca33c99", "kind": "analysis", "text": "Under a trust agreement dated March 6, 2026 the debtors created the Prospect GUC Trust, sited in New York, to collect, administer and distribute trust assets, including assigned estate causes of action, for the backstop lender and general unsecured creditors; Steven Balasiano, founder of MHR Advisory Group, was appointed trustee, with Kelley Drye & Warren LLP as counsel. Under a plan administrator agreement dated March 5, 2026, Saidara Group, Inc., a California corporation acting through Frank Saidara, was appointed plan administrator for PMH and its debtor affiliates at $72,500 a month; the plan supplement states that no insider of the debtors was expected to be employed by the plan administrator. Saidara had filed a declaration supporting the Astrana sale on May 19, 2025.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-079", "src-033" ], "entity_ids": [ "guc-trust", "steven-balasiano", "pmh", "mhr", "saidara-group", "frank-saidara", "astrana" ] }, { "id": "display-claim-37ec52d6fdc0f00578564788", "kind": "analysis", "text": "Connecticut Healthcare Insurance Company (CHIC) is a Cayman Islands exempted company whose registered owner is Prospect ECHN, Inc., an indirect wholly owned subsidiary of PMH; CHIC issued insurance policies to the debtors and ceded the risk to reinsurers under reinsurance contracts. According to CHIC's foreign representatives, in Pennsylvania before October 1, 2020 the first $500,000 of liability on a claim was insured through Prospect Medical Holdings Risk Retention Group, Inc., a self-insurance programme of the Prospect debtors, and the next $500,000 by the state's MCare fund, with coverage above that from third-party excess insurers. From October 1, 2020 claim amounts above $1 million, up to a cap of $80 million, were insured through CHIC, subject to the debtors' self-insured retention between $1 million and $13.5 million, and CHIC reinsured those obligations with third-party insurers.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-091", "src-079" ], "entity_ids": [ "chic", "prospect-echn", "pmh", "pmh-rrg" ] }, { "id": "display-claim-029240026c410b7ded2534b9", "kind": "analysis", "text": "CHIC filed a winding-up petition in the Financial Services Division of the Grand Court of the Cayman Islands; its foreign representatives date the petition to March 12, 2026, while the court's winding-up order refers to a petition filed on March 16, 2026. By order of March 18, 2026 Orla O'Regan and Michael Pearson were appointed joint provisional liquidators and foreign representatives, and they, the Prospect debtors and the reinsurers reached a settlement in principle under which the reinsurers would pay the debtors about $26 million in exchange for the commutation of CHIC's policies and reinsurance, excluding the 2025–2026 policy year. On May 28, 2026 the Grand Court (FSD 93 of 2026) ordered CHIC to be wound up, discharged Pearson and O'Regan of JTC Special Situations Limited as provisional liquidators and appointed them joint official liquidators; the Cayman Islands Gazette notice gives CHIC's registration number as 174133, with its registered office at Marsh Management Services Cayman Ltd.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-091", "src-102", "src-103" ], "entity_ids": [ "chic", "orla-oregan", "michael-pearson", "pmh" ] }, { "id": "display-claim-bd43588c1fd8c089e2fbfe5b", "kind": "analysis", "text": "The foreign representatives sought recognition of the Cayman proceeding in the U.S. Bankruptcy Court for the Northern District of Texas (Chapter 15 case No. 26-32010, Judge Stacey G. Jernigan). Personal-injury claimants objected to the petition, and the foreign representatives replied to the objections. After an evidentiary hearing on June 9, 2026 the court granted recognition with a narrower order: the June 10, 2026 order recognises the Cayman proceeding as a foreign main proceeding and confirms Pearson and O'Regan as foreign representatives, and states that it does not extend the Cayman stay to the debtors in PMH's Chapter 11 case or to CHIC's insurers and reinsurers. PMH's plan administrator moved in the Chapter 11 case (Docket No. 5082) for approval under Bankruptcy Rule 9019 of a settlement with CHIC and the settling reinsurers, and the Prospect GUC Trust appeared as a creditor in the Chapter 15 case.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-090", "src-101", "src-102" ], "entity_ids": [ "chic", "michael-pearson", "orla-oregan", "pmh", "guc-trust" ] }, { "id": "display-claim-d59fe291514592b631f13e17", "kind": "analysis", "text": "In its 2021 review the Rhode Island Attorney General examined under oath, for PMH, Samuel Lee (chief executive officer), David Topper (senior vice president), Mark Johnson (chief financial officer) and George Pillari (senior vice president of integration and operations), and, for Leonard Green, its partners Alyse Wagner and John Baumer. In May 2024 the Attorney General's office examined under oath, among others, Alfredo Sabillo (PMH chief financial officer), George Pillari (PMH corporate chief of integration and operations improvement), Ben Mingle (president of The Centurion Foundation) and Jeffrey Liebman (CharterCARE chief executive).", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-088" ], "entity_ids": [ "samuel-lee", "david-topper", "mark-johnson", "george-pillari", "alyse-wagner", "john-baumer", "pmh", "lgp", "alfredo-sabillo", "jeffrey-liebman", "centurion" ] }, { "id": "display-claim-76f41cb24fc6910d8e9abffd", "kind": "analysis", "text": "The U.S. Senate Budget Committee's letter of December 6, 2023 was addressed to Von Crockett and David Topper as co-chief executive officers of PMH. PMH's website, as retrieved in October 2026, lists Crockett and Topper as co-chief executive officers, with Crockett also described as president of Alta Hospitals and Topper as president of Alta Hospitals System, LLC; Mitchell Lew, MD as president; Sabillo as chief financial officer; and Rob Elders and Frank Saidara as co-general counsel. That page is a company self-description, undated, and may not reflect changes after the 2025–2026 sales. In the January 2025 Transaction Committee Crockett was described as chief executive officer and Saidara as general counsel, and the November 2025 Waterbury sale agreement names PMH's management as Crockett (co-chief executive officer), Sabillo (chief financial officer) and Kim Lumia (chief operating officer); the August 2025 California agreement defines the sellers' knowledge as that of Crockett and Sabillo. In March 2019 Kimberly A. Lumia testified to the Connecticut General Assembly as PMH's Chief Regional Performance Officer for its East Coast hospital division.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-005", "src-039", "src-007", "src-012", "src-034", "src-068", "src-105" ], "entity_ids": [ "von-crockett", "david-topper", "pmh", "mitchell-lew", "alfredo-sabillo", "rob-elders", "frank-saidara", "alta-hospitals-system", "kim-lumia" ] }, { "id": "display-claim-902ed69771d2bd52bb49e282", "kind": "analysis", "text": "Executive-data profiles, aggregator entries without exact dates of service, describe Mitchell Lew, MD as a former president of PMH who sits on the board of Prospect Medical Group and was previously chief executive officer of Prospect Medical Systems, Inc.; Mark Johnson and Alfredo Sabillo as former chief financial officers; Rob Elders as a former co-general counsel; and Von Crockett as PMH's chief executive officer.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-048", "src-054", "src-057", "src-063", "src-100", "src-099" ], "entity_ids": [ "mitchell-lew", "pmg", "pms-inc", "mark-johnson", "alfredo-sabillo", "rob-elders", "von-crockett", "pmh" ] }, { "id": "display-claim-7b76e728ca030d531a1a49cc", "kind": "analysis", "text": "PMH's 2010 merger proxy names John Danhakl (with the firm since 1995), Peter Nolan and Jonathan Sokoloff (with the firm since 1990) as managing partners of Leonard Green; Leonard Green's website in 2026 lists Sokoloff and Danhakl as managing partners, John Baumer as a senior partner who joined in 1999 and Alyse Wagner as a partner who joined in 2003. A securities-data profile, an aggregator entry, describes Michael S. Solomon as a former partner of Leonard Green & Partners and a former director of PMH, among other companies.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032", "src-055", "src-053" ], "entity_ids": [ "john-danhakl", "jonathan-sokoloff", "john-baumer", "alyse-wagner", "lgp", "michael-solomon", "pmh" ] }, { "id": "display-claim-005cfaea8886afbac6cead87", "kind": "analysis", "text": "The omnibus resolutions authorising the January 11, 2025 bankruptcy filings were signed by Samuel S. Lee and David Topper as the board of Prospect Waterbury, Inc., by Lee alone as the board of Hospital Advisory Services, Inc., and by Von Crockett and Topper as the boards of Prospect East Holdings, Prospect CT, Alta Los Angeles Hospitals, Southern California Healthcare System, Prospect ECHN, Prospect Rockville Hospital, Prospect Manchester Hospital, Prospect Oldco NJ and other corporations. Crockett signed as member for the group's limited liability companies, including Prospect East Hospital Advisory Services, Coordinated Regional Care Group, Prospect CharterCARE, Prospect Crozer, Prospect CharterCARE RWMC and SJHSRI, Prospect CCMC and Prospect DCMH, and Frank Saidara certified the resolutions as secretary of each company. The resolution authorising Alta Hospitals System, LLC's filing was signed by Crockett and Topper as its board of managers.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-050", "src-006" ], "entity_ids": [ "samuel-lee", "david-topper", "von-crockett", "frank-saidara", "prospect-waterbury", "has-inc", "prospect-east-holdings", "prospect-ct", "alta-los-angeles", "schs", "prospect-echn", "prospect-rockville", "prospect-manchester", "prospect-oldco-nj", "pehas", "crcg", "prospect-chartercare", "prospect-crozer", "pcc-rwmc", "pcc-sjhsri", "prospect-ccmc", "prospect-dcmh", "pmh", "alta-hospitals-system" ] }, { "id": "display-claim-6545c466abbd53122b453641", "kind": "analysis", "text": "PMH's fiscal-2010 annual report describes Samuel S. Lee as a former general partner of Kline Hawkes & Co. who co-founded Alta Healthcare System, Inc. in 1998, after it bought seven hospitals from Paracelsus Healthcare Corporation. Lee and the David & Alexa Topper Family Trust owned Alta until PMH bought it in August 2007. For that interest Lee received, according to Lee's Schedule 13D, 943,568 PMH common shares (8.3%), 836,440 shares of Series B preferred stock and $25.6 million in cash; the preferred stock carried an 18% cumulative annual dividend and allowed its holders, voting as a class, to elect two PMH directors. Lee joined PMH's board on August 8, 2007, when Lee also became Alta's chief executive, became PMH's Chief Executive Officer on March 19, 2008 and its Chairman on May 14, 2008, and was an officer of all of PMH's direct and indirect subsidiaries.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-038", "src-045" ], "entity_ids": [ "samuel-lee", "pmh", "alta-hospitals-system", "kline-hawkes", "topper-trust", "bank-of-america" ] }, { "id": "display-claim-3aa319f4e8b2d5be997374be", "kind": "analysis", "text": "PMH's 2010 merger proxy records that in the quarter ended September 30, 2008 Lee and David R. Topper each acquired 4,182,200 PMH shares at $5.00 a share. In May 2010, as a director, more-than-10% owner and chief executive, Lee reported selling PMH shares at $7.00 to $7.11 under a Rule 10b5-1 trading plan, after which Lee directly held 4,976,040 shares. In the December 2010 buyout Lee was one of the rollover investors, with Mike Heather, Topper and Dr. Jeereddi Prasad, who together contributed 6,227,824 PMH shares to Ivy Holdings for 529,365 Ivy Holdings shares. Afterwards the management stockholders designated Lee and Prasad as two of PMH's five directors. Lee also signed, as chief executive of Prospect Green Management, LLC, its management services agreement with Leonard Green & Partners; Ivy Holdings and Ivy Intermediate Holding unconditionally guaranteed the subsidiary's obligations to Leonard Green.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-032", "src-104", "src-001", "src-095" ], "entity_ids": [ "samuel-lee", "david-topper", "pmh", "ivy-holdings", "mike-heather", "jeereddi-prasad", "alta-hospitals-system", "promed-hsc", "lgp", "john-baumer", "michael-solomon", "alyse-wagner", "prospect-green-management", "lgp-management", "ivy-intermediate" ] }, { "id": "display-claim-19dc2d47151631e7273a8796", "kind": "analysis", "text": "PMH's fiscal-2010 annual report lists Lee with 20.2% of Ivy Holdings after the merger, and the Rhode Island Department of Health recorded 19.51% before the 2021 transaction. In that transaction Chamber Inc., incorporated in September 2019 and owned by Lee and the David & Alexa Topper Family Trust, became Ivy Holdings' sole owner, with Lee approved at 66.67% and the trust at 33.33%; the department's 2024 decision notes that the 2024 application reported 50% each and that it was unclear when the change occurred. In the 2020 application Lee was chief executive of Chamber, Ivy Holdings, Ivy Intermediate Holding, PMH, Prospect East Holdings and Prospect East Hospital Advisory Services. At the January 2025 petition date Lee was one of PMH's six directors, and signed the bankruptcy resolutions of Prospect Waterbury, Inc. (with Topper) and of Hospital Advisory Services, Inc. (alone) as their board.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-037", "src-003", "src-010", "src-002", "src-050" ], "entity_ids": [ "ivy-holdings", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "samuel-lee", "topper-trust", "mike-heather", "jeereddi-prasad", "chamber", "david-topper", "ivy-intermediate", "pmh", "prospect-east-holdings", "pehas", "von-crockett", "mitchell-lew", "alan-carr", "jeremy-rosenthal", "elizabeth-abrams", "frank-saidara", "prospect-waterbury", "has-inc", "prospect-ct", "alta-los-angeles", "schs", "prospect-echn", "prospect-rockville", "prospect-manchester", "prospect-oldco-nj", "crcg", "prospect-chartercare", "prospect-crozer", "pcc-rwmc", "pcc-sjhsri", "prospect-ccmc", "prospect-dcmh", "alta-hospitals-system" ] }, { "id": "display-claim-aabcc9f9ea576c88291eb77f", "kind": "analysis", "text": "Several accounts attribute large payments to Lee; none is an audited or adjudicated figure. The Connecticut Attorney General's draft complaint states that $90 million of the $457 million 2018 dividend went to Lee, and a December 2023 letter from the Senate Budget Committee's chair and ranking member, citing CBS News, says PMH's head made about $90 million from the debt-funded dividend; Lee's response to these figures was not found in the retained records. A 2020 investigative report estimated that $128 million of the $645 million of dividends paid after 2010 went to Lee and $94 million to Topper, with about $386 million to Leonard Green investors and the firm; these are journalists' estimates. Leonard Green and Prospect told that report, in written statements through a jointly retained public-relations firm, that they had kept their commitments, abided by the law, provided good patient care and invested hundreds of millions of dollars, saving many failing hospitals and preserving thousands of jobs; for a 2026 follow-up Lee could not be reached for comment, Leonard Green declined to respond and Topper answered “no comment”.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-081", "src-005", "src-094", "src-089" ], "entity_ids": [ "samuel-lee", "pmh", "lgp", "david-topper", "topper-trust" ] }, { "id": "display-claim-b62c7a135208267c82719afa", "kind": "analysis", "text": "In the bankruptcy, Transaction Committee chair Jeremy Rosenthal stated in December 2025 that $199.4 million of about $203.6 million that PMH transferred in 2018–2021 to certain current directors and officers or entities they control went to Topper and Lee, and that the debtors have viable claims relating to some of these transfers; this is the committee's conclusion, not a court finding, and no judgment appears in the retained records. Lee is therefore on the plan's Non-Released Parties Schedule, with Topper, the Topper family trust, Leonard Green and its funds and others; the exclusion preserves possible estate claims without finding liability. Leonard Green and its affiliates did not respond to a December 2025 request for comment on the designation. A December 2025 newspaper report states that at a hearing that month Judge Stacey Jernigan noted that Leonard Green, Lee and Topper had been named non-released parties, and that an attorney for the trust managing Prospect's assets said people would have causes of action brought and the trust would work to bring as much money back in when the time was right; no such suit appears in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-068", "src-093", "src-096" ], "entity_ids": [ "pmh", "jeremy-rosenthal", "david-topper", "samuel-lee", "topper-trust", "lgp", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "alyse-wagner", "michael-solomon", "john-baumer", "mike-heather", "jeereddi-prasad", "mark-johnson", "michael-sarian", "donna-vigil", "george-pillari" ] }, { "id": "display-claim-dd0ef6d46050cf234e57c4f6", "kind": "analysis", "text": "Lee is a named defendant in the Pennsylvania Attorney General's October 28, 2024 suit over Crozer Health, which, as described by PMH's chief restructuring officer, alleges mismanagement and neglect and breaches of the purchase agreement; the defendants' answer is not retained. The case was removed to the U.S. District Court for the Eastern District of Pennsylvania on October 31, 2024; Leonard Green and, on November 25, 2024, Lee and Topper filed notices consenting to removal, and the Attorney General moved to remand. The retained docket, last retrieved on December 16, 2024, shows no merits ruling, and a January 31, 2025 motion for approval of a bankruptcy settlement among the debtors, the Attorney General, Lee and Topper was withdrawn by the debtors before April 21, 2025.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-069", "src-080" ], "entity_ids": [ "pmh", "prospect-crozer", "lgp", "samuel-lee", "david-topper" ] }, { "id": "display-claim-2e758280ff2f5776e5211220", "kind": "analysis", "text": "The Connecticut Attorney General's draft complaint, citing press reports, states that in September 2019 California's attorney general charged PMH executives including Lee, Southern California Hospital at Culver City and its supervising pharmacists with gross negligence over sterile compounding, after about 21,000 doses of “adulterated dangerous drugs” were dispensed, and sought to revoke or suspend the hospital's pharmacy permit. These are allegations repeated from press reports; the California accusation and its outcome are not in the retained records. A 2020 investigative report states that Prospect said no patient harm occurred from the error, which had been corrected, and that the pharmacy was fully operational, and described the matter as still pending; no later outcome appears in the retained records. A September 29, 2025 FTC early-termination notice for the sale of the California hospital companies names Sang Bum (Samuel) Lee as the acquired party, which under the FTC's listing format is the ultimate parent entity of the companies sold; the notice does not describe ownership percentages.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-081", "src-094", "src-049" ], "entity_ids": [ "pmh", "samuel-lee", "schs", "michael-sarian", "alta-hospitals-system", "alta-los-angeles" ] }, { "id": "display-claim-4449934ad7badad4d4dd9cfe", "kind": "analysis", "text": "The David & Alexa Topper Family Trust, U/D/T September 29, 1997, is a revocable trust whose settlors and trustees are David R. Topper and Alexa Topper, a married couple. With Samuel S. Lee the trust owned Alta Healthcare System, Inc. until PMH bought it in August 2007, and under the sale agreement the selling shareholders, Lee and the trust, agreed to indemnify PMH for specified litigation pending against Alta, Lee and David Topper. In the quarter ended September 30, 2008 Topper acquired 4,182,200 PMH shares at $5.00 a share, as did Lee, and an August 2008 Schedule 13D amendment reported that Topper, together with Alexa Topper, beneficially owned 5,192,435 PMH shares, 25.5% of the class.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-008", "src-038", "src-001", "src-045", "src-032" ], "entity_ids": [ "david-topper", "alexa-topper", "topper-trust", "pmh", "samuel-lee", "alta-hospitals-system", "bank-of-america" ] }, { "id": "display-claim-8634a9d56a955db258a86485", "kind": "analysis", "text": "Topper, then President of the Alta Hospitals System subsidiary, was one of the rollover investors in the December 2010 buyout, who together contributed 6,227,824 PMH shares to Ivy Holdings for 529,365 Ivy Holdings shares. The family trust held 14.9% of Ivy Holdings after the merger and 14.45% before the 2021 transaction. That transaction made Chamber Inc., owned by Lee and the trust, Ivy Holdings' sole owner, with the trust approved at 33.33% and Lee at 66.67%; the Rhode Island Department of Health's 2024 decision notes that the 2024 application reported 50% each and that it was unclear when the change occurred.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-037", "src-003", "src-010" ], "entity_ids": [ "pmh", "ivy-holdings", "samuel-lee", "mike-heather", "david-topper", "jeereddi-prasad", "alta-hospitals-system", "promed-hsc", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "topper-trust", "chamber", "ivy-intermediate" ] }, { "id": "display-claim-52c2a3a4ba701951d76e87ac", "kind": "analysis", "text": "The U.S. Senate Budget Committee's December 6, 2023 letter was addressed to Topper and Von Crockett as PMH's co-chief executive officers. PMH's website, retrieved in October 2026, still lists them as co-chief executives, with Topper as president of Alta Hospitals System, LLC; the page is an undated company self-description that may not reflect changes after the 2025–2026 sales. At the January 2025 petition date Topper was one of PMH's six directors. Topper signed the January 11, 2025 bankruptcy resolutions as a director of Prospect Waterbury, Inc. (with Lee) and of Prospect East Holdings, Prospect CT, Prospect ECHN and other subsidiaries (with Crockett), and as a member, with Crockett, of the board of managers of Alta Hospitals System, LLC.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-005", "src-039", "src-007", "src-002", "src-050", "src-006" ], "entity_ids": [ "von-crockett", "david-topper", "pmh", "mitchell-lew", "alfredo-sabillo", "rob-elders", "frank-saidara", "alta-hospitals-system", "samuel-lee", "alan-carr", "jeremy-rosenthal", "elizabeth-abrams", "prospect-waterbury", "has-inc", "prospect-east-holdings", "prospect-ct", "alta-los-angeles", "schs", "prospect-echn", "prospect-rockville", "prospect-manchester", "prospect-oldco-nj", "pehas", "crcg", "prospect-chartercare", "prospect-crozer", "pcc-rwmc", "pcc-sjhsri", "prospect-ccmc", "prospect-dcmh" ] }, { "id": "display-claim-8235059342957796d78a9ef3", "kind": "analysis", "text": "A 2020 investigative report estimated that $94 million of the $645 million of dividends paid after Leonard Green's 2010 purchase went to Topper, and a 2026 follow-up stated that Topper received it through the family trust; these are journalists' estimates, not audited figures. Leonard Green and Prospect told the 2020 report, in written statements through a jointly retained public-relations firm, that they had kept their commitments, abided by the law, provided good patient care and invested hundreds of millions of dollars, saving many failing hospitals and preserving thousands of jobs; for the 2026 report Topper answered “no comment”, Leonard Green declined to respond and Lee could not be reached.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-094", "src-089" ], "entity_ids": [ "pmh", "lgp", "samuel-lee", "david-topper", "topper-trust" ] }, { "id": "display-claim-60475d99e00f77076c08d67d", "kind": "analysis", "text": "In the bankruptcy, the Transaction Committee's chair stated in December 2025 that $199.4 million of about $203.6 million transferred by PMH in 2018–2021 to certain current directors and officers or entities they control went to Topper and Lee, and that the debtors have viable claims relating to some of these transfers; this is the committee's conclusion, not a court finding, and no judgment appears in the retained records. Topper and the family trust are on the plan's Non-Released Parties Schedule, which preserves possible estate claims without any finding of liability. Leonard Green and its affiliates did not respond to a December 2025 request for comment on the designation. A December 2025 newspaper report states that at a hearing that month Judge Stacey Jernigan noted that Leonard Green, Lee and Topper had been named non-released parties, and that an attorney for the trust managing Prospect's assets said people would have causes of action brought and the trust would work to bring as much money back in when the time was right; no such suit appears in the retained records.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-068", "src-093", "src-096" ], "entity_ids": [ "pmh", "jeremy-rosenthal", "david-topper", "samuel-lee", "topper-trust", "lgp", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "alyse-wagner", "michael-solomon", "john-baumer", "mike-heather", "jeereddi-prasad", "mark-johnson", "michael-sarian", "donna-vigil", "george-pillari" ] }, { "id": "display-claim-e7b75f0b2a2c859ff4e2c414", "kind": "analysis", "text": "Topper is also a named defendant in the Pennsylvania Attorney General's October 2024 suit over Crozer Health, whose allegations of mismanagement, neglect and breach of the purchase agreement are known from the description by PMH's chief restructuring officer; the defendants' answer is not retained. After the case was removed to federal court on October 31, 2024, Lee and Topper filed notices consenting to removal on November 25, 2024, and the Attorney General moved to remand; the retained docket, last retrieved on December 16, 2024, shows no merits ruling, and a proposed bankruptcy settlement among the debtors, the Attorney General, Lee and Topper was withdrawn by the debtors before April 21, 2025.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-069", "src-080" ], "entity_ids": [ "pmh", "prospect-crozer", "lgp", "samuel-lee", "david-topper" ] }, { "id": "display-claim-21e1c09cd7828fb0aa951bc2", "kind": "analysis", "text": "Leonard Green & Partners, L.P. is an investment adviser registered with the SEC under CRD number 158164; its Form ADV amendment of March 31, 2026 gives its principal office as 11111 Santa Monica Blvd., Suite 2000, Los Angeles. Its funds Green Equity Investors V, L.P. and Green Equity Investors Side V, L.P., whose general partner is GEI Capital V, LLC, formed Ivy Holdings Inc. to buy PMH in 2010, when PMH's merger proxy described Leonard Green as a private equity firm with about $9 billion of equity commitments under management. The proxy named John Danhakl, Peter Nolan and Jonathan Sokoloff as managing partners; the firm's website in 2026 lists Sokoloff and Danhakl as managing partners, John Baumer as a senior partner who joined in 1999 and Alyse Wagner as a partner who joined in 2003.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-042", "src-032", "src-055" ], "entity_ids": [ "lgp", "ivy-holdings", "gei-v", "gei-side-v", "gei-capital-v", "ivy-intermediate", "john-danhakl", "jonathan-sokoloff", "john-baumer", "alyse-wagner" ] }, { "id": "display-claim-2cd7ff91928b661acc73db0a", "kind": "analysis", "text": "After the December 15, 2010 merger of Ivy Merger Sub Corp. into PMH, PMH was 62% indirectly owned by the Leonard Green funds, and Leonard Green's affiliates had the right to designate three of its five directors, John Baumer, Michael Solomon and Alyse Wagner. Under a management services agreement with PMH's subsidiary Prospect Green Management, LLC, Leonard Green was to receive an annual fee of $1,000,000 regardless of the services provided, a one-time $4,000,000 structuring fee for the merger, fees for major transactions as agreed and up to $50,000 a year of expenses, for a ten-year term renewing annually; the subsidiary paid the $4,000,000 fee and $441,000 of merger expenses by March 2011.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-001", "src-041", "src-095" ], "entity_ids": [ "pmh", "ivy-holdings", "samuel-lee", "mike-heather", "david-topper", "jeereddi-prasad", "gei-v", "gei-side-v", "lgp", "john-baumer", "michael-solomon", "alyse-wagner", "prospect-green-management" ] }, { "id": "display-claim-d63d816f958fb0d98781272d", "kind": "analysis", "text": "PYA's 2021 report records Baumer and Wagner's testimony that apart from the initial 2010 investment of about $151 million in Ivy Holdings the funds invested no further money, and characterises the funds' fiscal-2019 capital contribution as in substance a short-term shareholder loan returned through dividends; the Rhode Island Attorney General stated that apart from about $25 million contributed in 2019 and returned within a year, Leonard Green never invested its own money in PMH. These are the consultant's and the Attorney General's characterisations, and the funds were described as near the end of their life and obliged to liquidate their investments. The Senate Budget Committee's December 2023 letter states that Leonard Green exited PMH completely in 2021 and that over about a decade it and other owners extracted $658 million in fees and dividends, a figure that differs from other estimates because of period and payment definitions.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-005" ], "entity_ids": [ "lgp", "gei-v", "pmh", "john-baumer", "alyse-wagner", "ivy-holdings" ] }, { "id": "display-claim-cc516a3c366feaa5bb954921", "kind": "analysis", "text": "In January 2025 Senators Grassley and Whitehouse of the Senate Budget Committee issued a report which, as PMH's chief restructuring officer summarised it, focused on Leonard Green's 11-year majority ownership and alleged that Leonard Green executives took home hundreds of millions of dollars in dividends and preferred stock redemptions while care deteriorated and the system took on unsustainable debt and lease obligations; the report itself is not retained. According to a 2026 investigative report, Leonard Green disputed the Senate report's conclusions and Prospect has denied any misconduct or negligent care.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-002", "src-089" ], "entity_ids": [ "lgp", "pmh" ] }, { "id": "display-claim-bf61ae83419e4b9b0f3fef95", "kind": "analysis", "text": "The Rhode Island Attorney General described the 2021 transaction as an in-house buy-out of majority stockholders whose representatives made up 60% of the board, after which Samuel Lee and David Topper would become the sole owners of Prospect. The conditions of the 2021 approval required the $10,000,000 payable to Leonard Green under the merger agreement to be contributed to the escrows, and the escrows to be funded before closing: a $12,000,000 global conditions escrow, with Leonard Green to fund $8,000,000, a $41,000,000 capital expenditure escrow, with Leonard Green to fund $26,800,000, and a $27,000,000 escrow for Medicare advance repayments to be funded entirely by Prospect.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003" ], "entity_ids": [ "lgp", "pmh", "samuel-lee", "david-topper" ] }, { "id": "display-claim-c70981a375e85cb68b63ab2a", "kind": "analysis", "text": "Leonard Green was among those against whom litigation, including fraud and misrepresentation claims, was brought over the handling of the St. Joseph Health Services of Rhode Island pension, which Prospect had not assumed in 2014; PMH agreed to pay $27,250,000 with no admission of liability, and on July 29, 2021 the U.S. District Court for the District of Rhode Island gave final approval to the plan receiver's class settlement with PMH, Prospect East Holdings, Prospect CharterCARE and its two hospital companies and The Angell Pension Group, a gross settlement of $30,000,000 that included a $2,750,000 court deposit and two letters of credit, with $7,000,000 awarded to class counsel. It is also a named defendant in the Pennsylvania Attorney General's October 2024 suit over Crozer Health, whose allegations of mismanagement and breach of the purchase agreement are known from the description by PMH's chief restructuring officer; the defendants' answer is not retained. Leonard Green consented to the removal of that case to federal court, the Attorney General moved to remand, the retained docket shows no merits ruling, and a January 31, 2025 motion to approve a settlement among the debtors, the Attorney General, Lee and Topper was withdrawn by the debtors before April 21, 2025.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-003", "src-071", "src-002", "src-069", "src-080" ], "entity_ids": [ "pmh", "lgp", "prospect-east-holdings", "prospect-chartercare", "pcc-rwmc", "pcc-sjhsri", "jpmorgan", "samuel-lee", "david-topper", "chartercare-community-board", "prospect-crozer" ] }, { "id": "display-claim-68be34b1ca312d7cd88e8c76", "kind": "analysis", "text": "The Chapter 11 plan's Non-Released Parties Schedule lists Leonard Green & Partners, Green Equity Investors V and Side V, Ivy LGP Co-Invest LLC and the former Leonard Green directors Alyse M. Wagner, Michael Solomon and John Baumer, as well as Lee, Topper and others, preserving possible estate claims without any finding of liability. Leonard Green and its affiliates did not respond to a December 2025 newspaper request for comment on the designation. A December 2025 newspaper report states that at a hearing that month Judge Stacey Jernigan noted that Leonard Green, Lee and Topper had been named non-released parties, and that an attorney for the trust managing Prospect's assets said people would have causes of action brought and the trust would work to bring as much money back in when the time was right; no such suit appears in the retained records. An April 2026 investigative report states that the court approved $10 million to pursue claims against former Prospect principals, with Leonard Green, Lee and Topper as the main targets, and that creditors' counsel told the court potentially hundreds of millions of dollars could be recovered; the order is not retained. Leonard Green declined to respond to the report's questions, Lee could not be reached for comment and Topper answered “no comment”.", "qualification": "", "response": "", "outcome": "", "source_ids": [ "src-093", "src-096", "src-089" ], "entity_ids": [ "samuel-lee", "david-topper", "topper-trust", "lgp", "gei-v", "gei-side-v", "ivy-lgp-coinvest", "alyse-wagner", "michael-solomon", "john-baumer", "mike-heather", "jeereddi-prasad", "mark-johnson", "michael-sarian", "donna-vigil", "george-pillari", "pmh" ] } ], "sources": [ { "id": "src-001", "title": "Prospect Medical Holdings, Inc. Form 10-K for the fiscal year ended September 30, 2010", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "", "locator": "Form 10-K (FY2010), Items 1, 7, 10-13 and notes", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1063561/000104746910010504/a2201450z10-k.htm" }, { "id": "src-002", "title": "Court record source · src-002", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-003", "title": "Rhode Island Attorney General decision on the Chamber Inc. / Ivy Holdings Inc. Hospital Conversions Act application", "publisher": "Office of the Rhode Island Attorney General", "date": "2021-06-01", "locator": "Decision of June 1, 2021, with conditions", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "regulatory_record", "publisher_type": "government", "url": "https://riag.ri.gov/sites/g/files/xkgbur496/files/documents/Prospect_Chamber_Ivy_AG_HCA_Decision.pdf" }, { "id": "src-004", "title": "SEC EDGAR submissions record for Prospect Medical Holdings Inc (CIK 0001063561)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "", "locator": "Registrant metadata and filing index", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "corporate_registry", "publisher_type": "regulator", "url": "https://data.sec.gov/submissions/CIK0001063561.json" }, { "id": "src-005", "title": "Letter of the chair and ranking member of the U.S. Senate Budget Committee to Leonard Green & Partners, Prospect Medical Holdings and Medical Properties Trust", "publisher": "Office of Senator Chuck Grassley, U.S. Senate", "date": "2023-12-06", "locator": "Letter of December 6, 2023", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "other", "publisher_type": "government", "url": "https://www.grassley.senate.gov/download/whitehouse-grassley-to-leonard-green-prospect-medical-holdings-property-medical-trust_-private-equity-health-investigation?download=1" }, { "id": "src-006", "title": "Court record source · src-006", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-007", "title": "Company statement source · src-007", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "corporate", "url": "" }, { "id": "src-008", "title": "Schedule 13D amendment filed by David R. Topper and Alexa Topper regarding Prospect Medical Holdings, Inc. (2008)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "", "locator": "Items 2-5", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "regulatory_record", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1063561/000110465908055221/a08-22361_2sc13da.htm" }, { "id": "src-009", "title": "Schedule 13D amendment filed by Samuel S. Lee and group regarding Prospect Medical Holdings, Inc. (December 2010)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "", "locator": "Items 2-5", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "regulatory_record", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1063561/000110465910062926/a10-22888_1sc13da.htm" }, { "id": "src-010", "title": "Chamber Inc. and Ivy Holdings Inc. Hospital Conversions Act application (resubmitted March 18, 2020)", "publisher": "Office of the Rhode Island Attorney General (applicant filing)", "date": "2020-03-18", "locator": "Application responses", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "government", "url": "https://riag.ri.gov/sites/g/files/xkgbur496/files/documents/Application3-18-20.pdf" }, { "id": "src-011", "title": "Medical Properties Trust press release on the Prospect recapitalisation, Exhibit 99.1 (May 2023)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2023-05", "locator": "Exhibit 99.1", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1524607/000119312523153419/d471317dex991.htm" }, { "id": "src-012", "title": "Court record source · src-012", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-013", "title": "Court record source · src-013", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-014", "title": "Medical Properties Trust third-quarter 2023 results release, Exhibit 99.1", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2023-10", "locator": "Exhibit 99.1", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1287865/000119312523263599/d565176dex991.htm" }, { "id": "src-015", "title": "Prospect ECHN, Inc. annual affiliation report to Connecticut's Office of Health Care Access", "publisher": "State of Connecticut, Office of Health Strategy (filer: Prospect ECHN, Inc.)", "date": "2017-03-09", "locator": "Affiliation filing form, lines 1-4", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "government", "url": "https://portal.ct.gov/-/media/OHS/ohca/Notifications/AffiliationFiling/2017_Filing/ProspectECHNAffiliationFiling2016pdf.pdf?la=en" }, { "id": "src-016", "title": "Connecticut business registry record: Prospect Manchester Hospital, Inc.", "publisher": "State of Connecticut open data (Secretary of the State business registry)", "date": "", "locator": "Registry record", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "corporate_registry", "publisher_type": "registry_operator", "url": "https://data.ct.gov/resource/n7gp-d28j.json?$q=Prospect%20Manchester%20Hospital&$limit=10" }, { "id": "src-017", "title": "Connecticut business registry record: Prospect Rockville Hospital, Inc.", "publisher": "State of Connecticut open data (Secretary of the State business registry)", "date": "", "locator": "Registry record", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "corporate_registry", "publisher_type": "registry_operator", "url": "https://data.ct.gov/resource/n7gp-d28j.json?$q=Prospect%20Rockville%20Hospital&$limit=10" }, { "id": "src-018", "title": "Real property asset purchase agreement among Prospect Medical Holdings, its subsidiaries and Medical Properties Trust companies, Exhibit 10.2 (July 10, 2019)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2019-07-10", "locator": "Exhibit 10.2, preamble, price and signature pages", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1287865/000156459019042649/mpw-ex102_544.htm" }, { "id": "src-019", "title": "Subsidiaries of Prospect Medical Holdings, Inc., Exhibit 21.1 to the 2009 annual report", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "", "locator": "Exhibit 21.1", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1063561/000110465909057071/a09-28644_1ex21d1.htm" }, { "id": "src-020", "title": "Astrana Health, Inc. Form 8-K/A on the completed Prospect acquisition (event of July 1, 2025)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2025-07", "locator": "Items 2.01 and 9.01", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1083446/000110465925089230/tm2525148d1_8ka.htm" }, { "id": "src-021", "title": "Other source · src-021", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "government", "url": "" }, { "id": "src-022", "title": "Media source · src-022", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "media", "publisher_type": "media", "url": "" }, { "id": "src-023", "title": "Court record source · src-023", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-024", "title": "Company statement source · src-024", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "corporate", "url": "" }, { "id": "src-025", "title": "Rhode Island Attorney General release on conditions imposed on the proposed hospital ownership change", "publisher": "Office of the Rhode Island Attorney General", "date": "2024-06-20", "locator": "Press release", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "regulatory_record", "publisher_type": "government", "url": "https://riag.ri.gov/press-releases/attorney-general-imposes-significant-conditions-proposed-hospital-ownership-change" }, { "id": "src-026", "title": "Company statement source · src-026", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "corporate", "url": "" }, { "id": "src-027", "title": "Astrana Health side letter to Prospect Medical Holdings on closing matters, Exhibit 10.2 (July 1, 2025)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2025-07-01", "locator": "Exhibit 10.2", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1083446/000095017025105242/asth-ex10_2.htm" }, { "id": "src-028", "title": "Connecticut business registry record: Prospect Waterbury, Inc.", "publisher": "State of Connecticut open data (Secretary of the State business registry)", "date": "", "locator": "Registry record", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "corporate_registry", "publisher_type": "registry_operator", "url": "https://data.ct.gov/resource/n7gp-d28j.json?name=PROSPECT%20WATERBURY%2C%20INC." }, { "id": "src-029", "title": "Connecticut business registry record: Prospect ECHN, Inc.", "publisher": "State of Connecticut open data (Secretary of the State business registry)", "date": "", "locator": "Registry record", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "corporate_registry", "publisher_type": "registry_operator", "url": "https://data.ct.gov/resource/n7gp-d28j.json?name=PROSPECT%20ECHN%2C%20INC." }, { "id": "src-030", "title": "Company statement source · src-030", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "corporate", "url": "" }, { "id": "src-031", "title": "Prospect Medical Holdings, Inc. Form 10-K for the fiscal year ended September 30, 2008", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "", "locator": "Form 10-K (FY2008), Items 1, 4, 10-13 and exhibits list", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1063561/000104746908013426/a2189729z10-k.htm" }, { "id": "src-032", "title": "Prospect Medical Holdings, Inc. definitive merger proxy statement (Schedule 14A, 2010)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2010-11", "locator": "Background of the merger, ownership tables, annexes", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1063561/000104746910009625/a2200972zdefm14a.htm" }, { "id": "src-033", "title": "Court record source · src-033", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-034", "title": "Court record source · src-034", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-035", "title": "Court record source · src-035", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-036", "title": "Court record source · src-036", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-037", "title": "Court record source · src-037", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-038", "title": "Schedule 13D filed by Samuel S. Lee regarding Prospect Medical Holdings, Inc. (2007)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2007", "locator": "Items 3-6", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "regulatory_record", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/0001063561/000095012907004155/h49325asc13d.htm" }, { "id": "src-039", "title": "Company statement source · src-039", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "corporate", "url": "" }, { "id": "src-040", "title": "Research source · src-040", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "research", "publisher_type": "nonprofit", "url": "" }, { "id": "src-041", "title": "Prospect Medical Holdings, Inc. Form 10-Q for the quarter ended March 31, 2011", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2011-05", "locator": "Notes 1, 2 and 8; MD&A", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1063561/000110465911029394/a11-11593_110q.htm" }, { "id": "src-042", "title": "Form ADV of Leonard Green & Partners, L.P. (annual amendment of March 31, 2026)", "publisher": "U.S. Securities and Exchange Commission (Investment Adviser Public Disclosure)", "date": "2026-03-31", "locator": "Item 1", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "regulatory_record", "publisher_type": "regulator", "url": "https://reports.adviserinfo.sec.gov/reports/ADV/158164/PDF/158164.pdf" }, { "id": "src-043", "title": "Prospect Medical Holdings, Inc. Form 10-K for the fiscal year ended September 30, 2006", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "", "locator": "Form 10-K (FY2006), executive officers and legal proceedings", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1063561/000110465906084230/a06-25959_110k.htm" }, { "id": "src-044", "title": "Company statement source · src-044", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "media", "url": "" }, { "id": "src-045", "title": "FTC early termination notice 20071528: Prospect Medical Holdings, Inc. / David & Alexa Topper Family Trust", "publisher": "U.S. Federal Trade Commission", "date": "2007-06-15", "locator": "Notice 20071528", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "regulatory_record", "publisher_type": "regulator", "url": "https://www.ftc.gov/legal-library/browse/early-termination-notices/20071528" }, { "id": "src-046", "title": "Company statement source · src-046", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "corporate", "url": "" }, { "id": "src-047", "title": "Other source · src-047", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-048", "title": "Other source · src-048", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-049", "title": "FTC early termination notice 20251865: Mike Sarian / Sang Bum (Samuel) Lee", "publisher": "U.S. Federal Trade Commission", "date": "2025-09-29", "locator": "Notice 20251865", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "regulatory_record", "publisher_type": "regulator", "url": "https://www.ftc.gov/legal-library/browse/early-termination-notices/20251865" }, { "id": "src-050", "title": "Court record source · src-050", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-051", "title": "Media source · src-051", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "media", "publisher_type": "media", "url": "" }, { "id": "src-052", "title": "Other source · src-052", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-053", "title": "Other source · src-053", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-054", "title": "Other source · src-054", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-055", "title": "Company statement source · src-055", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "corporate", "url": "" }, { "id": "src-056", "title": "Company statement source · src-056", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "corporate", "url": "" }, { "id": "src-057", "title": "Other source · src-057", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-058", "title": "Memorandum and order dismissing a pro se complaint against Prospect Medical Holdings and others (E.D. Pa. No. 2:24-cv-00494)", "publisher": "U.S. Government Publishing Office (GovInfo)", "date": "2024-02-09", "locator": "Document 6", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "court_record", "publisher_type": "government", "url": "https://www.govinfo.gov/content/pkg/USCOURTS-paed-2_24-cv-00494/pdf/USCOURTS-paed-2_24-cv-00494-0.pdf" }, { "id": "src-059", "title": "Court record source · src-059", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-060", "title": "Other source · src-060", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-061", "title": "Company statement source · src-061", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "company_statement", "publisher_type": "corporate", "url": "" }, { "id": "src-062", "title": "Other source · src-062", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-063", "title": "Other source · src-063", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-064", "title": "Other source · src-064", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-065", "title": "Other source · src-065", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-066", "title": "Court record source · src-066", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-067", "title": "Court record source · src-067", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-068", "title": "Court record source · src-068", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-069", "title": "Court record source · src-069", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-070", "title": "Court record source · src-070", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-071", "title": "Order granting final approval of the class settlement in Del Sesto v. Prospect CharterCARE et al. (D.R.I. No. 1:18-cv-00328, Doc. 217)", "publisher": "U.S. Government Publishing Office (GovInfo)", "date": "2021-07-29", "locator": "Document 217", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "court_record", "publisher_type": "government", "url": "https://www.govinfo.gov/content/pkg/USCOURTS-rid-1_18-cv-00328/pdf/USCOURTS-rid-1_18-cv-00328-6.pdf" }, { "id": "src-072", "title": "Court record source · src-072", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-073", "title": "Prospect Medical Holdings, Inc. Form 8-K (July 2011)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2011-07", "locator": "Items 5.07 and 8.01", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/0001063561/000110465911040845/a11-22331_18k.htm" }, { "id": "src-074", "title": "NPPES registry record for NPI 1063533552 (Prospect Northwest Orange County Medical Group Inc.)", "publisher": "Centers for Medicare & Medicaid Services (NPPES)", "date": "", "locator": "Registry record", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "corporate_registry", "publisher_type": "registry_operator", "url": "https://npiregistry.cms.hhs.gov/api/?number=1063533552&version=2.1" }, { "id": "src-075", "title": "Court record source · src-075", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-076", "title": "Prospect Medical Holdings, Inc. Form 8-K (August 2007)", "publisher": "U.S. Securities and Exchange Commission (EDGAR)", "date": "2007-08", "locator": "Items 2.01 and 9.01", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "company_statement", "publisher_type": "regulator", "url": "https://www.sec.gov/Archives/edgar/data/1063561/000110465907054910/a07-19900_18k.htm" }, { "id": "src-077", "title": "Other source · src-077", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "other", "publisher_type": "corporate", "url": "" }, { "id": "src-078", "title": "NPPES registry record for NPI 1346079209 (CharterCARE Our Lady of Fatima Hospital)", "publisher": "Centers for Medicare & Medicaid Services (NPPES)", "date": "", "locator": "Registry record", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "corporate_registry", "publisher_type": "registry_operator", "url": "https://npiregistry.cms.hhs.gov/api/?number=1346079209&version=2.1" }, { "id": "src-079", "title": "Court record source · src-079", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-080", "title": "Court record source · src-080", "publisher": "", "date": "", "locator": "", "basis": "Source classification retained; identifying metadata omitted.", "source_type": "court_record", "publisher_type": "corporate", "url": "" }, { "id": "src-081", "title": "Connecticut Office of the Attorney General proof of claim no. 2592 with draft complaint", "publisher": "State of Connecticut, Office of the Attorney General", "date": "2025-07-09", "locator": "Proof of claim and attached draft complaint", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "court_record", "publisher_type": "government", "url": "https://portal.ct.gov/-/media/ag/press_releases/2025/2592--ct-oag-prospect-medical-holdings-inc.pdf?rev=8dad81fd99c24695853eb866b308c882" }, { "id": "src-082", "title": "Rhode Island Department of Health release on its compliance order to the owners of Roger Williams and Fatima hospitals", "publisher": "State of Rhode Island", "date": "2023-11-09", "locator": "Press release", "basis": "Retained copy of the document in the frozen case database, read in the passages cited by the claims.", "source_type": "regulatory_record", "publisher_type": "government", "url": "https://www.ri.gov/press/view/46694" }, { "id": "src-083", "title": "Opinion of the Commonwealth Court of Pennsylvania in CKHS, Inc. v. Prospect Medical Holdings, Inc. 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