{
  "schemaVersion": 4,
  "entityId": "0000496706",
  "canonicalName": "THE QUEEN'S MEDICAL CENTER - WEST OAHU",
  "status": "corporate_chain",
  "statusLabel": "Corporate-chain ownership/accountability warning",
  "summary": "THE QUEEN'S MEDICAL CENTER - WEST OAHU has a completed Hawaii state-template dossier baseline with official identity, CMS enrollment/owner context when matched, CMS Care Compare point-in-time context when matched, HCRIS financial/utilization context when matched, and explicit limitations for missing fields. Unsupported ownership, compensation, labor, quality-trend, or causation claims are not inferred.",
  "lastReviewed": "2026-07-02",
  "review": {
    "reviewer": "Five-state state-template completion batch",
    "evidence_grade": "completed state-template official-source baseline",
    "confidence": "low",
    "source_count": 2,
    "ownership_source_count": 2,
    "identity_match_method": "No CMS enrollment match in automated pass",
    "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.",
    "batch_id": "state-template-complete-2026-07-02-001"
  },
  "firstGlance": {
    "taxOwnershipType": "Nonprofit",
    "operator": "Queens",
    "directPeOwnership": "Not documented as direct PE ownership in this state-template pass",
    "peRelationship": "No documented PE link in current baseline sources",
    "careLevel": "GENERAL ACUTE CARE",
    "currentCeo": "Needs source-backed local leader research",
    "bottomLine": "THE QUEEN'S MEDICAL CENTER - WEST OAHU is shown with official-source baseline context for Hawaii. Missing fields remain visible instead of being inferred."
  },
  "communityImpact": {
    "populationServedEstimate": 0,
    "populationServedLabel": "Needs system/facility catchment estimate",
    "estimateMethod": "Not estimated in this state-template completion pass",
    "catchmentDescription": "EWA BEACH, HONOLULU, Hawaii. Service role should be refined in manual follow-up.",
    "traumaCareLevel": "GENERAL ACUTE CARE",
    "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed."
  },
  "qualityAndLaborContext": {
    "sourceId": "",
    "cmsOverallRating": "not available",
    "emergencyServices": "not available",
    "hospitalType": "GENERAL ACUTE CARE",
    "careCompareOwnership": "not available",
    "note": "No conservative CMS Care Compare match was captured for this facility in the state-template completion pass.",
    "noCausationClaim": true
  },
  "identifiers": {
    "ccn": null,
    "npi": null,
    "historicalCcns": [],
    "aliases": []
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-state-template-operator-0000496706",
      "from_entity_id": "queens",
      "to_entity_id": "0000496706",
      "relationship_type": "operates",
      "effective_date": "",
      "status": "current_context",
      "confidence": "low",
      "source_ids": "source-pehw-state-template-completion-2026-07-02",
      "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.",
      "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families."
    },
    {
      "relationship_id": "rel-state-template-operator-0000496706",
      "from_entity_id": "queens",
      "to_entity_id": "0000496706",
      "relationship_type": "operates",
      "effective_date": "",
      "status": "current_context",
      "confidence": "low",
      "source_ids": "source-pehw-state-template-completion-2026-07-02",
      "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.",
      "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families."
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [],
  "descriptiveTrends": [],
  "cmsOwnerRecords": [],
  "directConnections": [
    "Operator/owner context: Queens."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "No current CMS enrollment match was found by CCN or unique name/city/state match.",
    "No matching CMS Care Compare general-information row was found.",
    "No compatible HCRIS cost-report rows were matched to the resolved CCN.",
    "This five-state template completion pass used official cached CMS/HIFLD/PESP/HCRIS sources and records missing items; it does not claim the entire internet was exhausted."
  ],
  "unavailableFields": [
    "CMS Certification Number",
    "NPI",
    "source-backed local CEO/current leader",
    "official CEO image URL",
    "facility-level CEO compensation amount",
    "current CMS overall rating"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-07-02",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Facility location and identity source; does not establish ownership or control.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pehw-state-template-completion-2026-07-02",
      "title": "PE Healthcare Watch five-state template completion batch",
      "publisher": "PE Healthcare Watch",
      "publication_date": "2026-07-02",
      "retrieved_at": "2026-07-02",
      "url": "/data/releases/release-2026-07-02-state-template-complete-001.json",
      "reliability_tier": "research",
      "research_note": "Internal public release marker for the five-state template completion. It documents scope and limitations; it is not independent ownership evidence.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "State-template baseline separates facility record, operator/owner context, CMS owner rows, and PE status evidence. Context nodes do not create new ownership claims.",
    "confidence": "low",
    "nodes": [
      {
        "id": "0000496706",
        "label": "THE QUEEN'S MEDICAL CENTER - WEST OAHU",
        "type": "hospital",
        "sourceIds": [
          "source-hifld-hospitals"
        ]
      },
      {
        "id": "queens",
        "label": "Queens",
        "type": "organization",
        "sourceIds": [
          "source-pehw-state-template-completion-2026-07-02"
        ]
      }
    ],
    "edges": [
      {
        "id": "edge-state-template-operator-0000496706",
        "from": "queens",
        "to": "0000496706",
        "relationship": "operates",
        "confidence": "low",
        "sourceIds": [
          "source-pehw-state-template-completion-2026-07-02"
        ],
        "note": "Baseline operator/owner context for state-page completion; not an inferred PE ownership claim."
      }
    ],
    "caveats": [
      "CMS owner rows identify enrolled owner/control roles but may not name every ultimate financial sponsor.",
      "Missing local CEO, compensation, state-regulator, Form 990, or quality-trend fields remain explicit.",
      "This chain is a template baseline and should be superseded by deeper source-family research when available."
    ]
  }
}
