{ "schemaVersion": 4, "entityId": "0039693720", "canonicalName": "SAN JOAQUIN VALLEY REHABILITATION HOSPITAL", "status": "corporate_chain", "statusLabel": "Corporate-chain/accountability context", "summary": "San Joaquin Valley Rehabilitation Hospital was reviewed in the Fresno custom NEXT-style batch. For-profit rehab hospital with Vibra direct ownership and Vibra Management operational control; CMS owner rows also show MPT of Fresno-Vibra LP security interest. Unsupported PE ownership, contract scope, faith affiliation, sibling status, and independence claims remain limited to the cited sources.", "lastReviewed": "2026-07-04", "review": { "reviewer": "Codex Fresno custom NEXT-style batch", "evidence_grade": "source-family review completed with explicit unresolved items", "confidence": "high", "source_count": 3, "ownership_source_count": 3, "identity_match_method": "Entity ID 0039693720; CCN 053032", "publication_decision": "Corporate-chain/for-profit/Vibra exposure supported; no PE label from current source rows", "batch_id": "next-50-2026-07-04-fresno-city-001" }, "firstGlance": { "taxOwnershipType": "For-profit", "operator": "7173 North Sharon Avenue Operating Company LLC / Vibra Healthcare / Vibra Management", "directPeOwnership": "No direct PE label from current evidence; MPT security/investment exposure documented", "peRelationship": "No direct PE label from current evidence; MPT security/investment exposure documented", "institutionalShareholderContext": "No direct institutional-shareholder ownership claim is made from this batch.", "populationServedEstimate": 0, "populationServedLabel": "Not estimated in this Fresno batch", "careLevel": "GENERAL ACUTE CARE", "currentCeo": "Leadership research pending", "previousRelevantCeo": "Not identified in this Fresno batch", "operatorType": "Corporate chain / rehabilitation hospital", "operatorName": "7173 North Sharon Avenue Operating Company LLC / Vibra Healthcare / Vibra Management", "parentSystem": "Vibra Healthcare", "affiliatedSystem": "Vibra Healthcare", "religiousAffiliation": "Secular/no evidence", "confidence": "high", "evidenceAsOf": "2026-07-04", "bottomLine": "For-profit rehab hospital with Vibra direct ownership and Vibra Management operational control; CMS owner rows also show MPT of Fresno-Vibra LP security interest." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Not estimated in this Fresno batch", "estimateMethod": "No catchment or access-time model was run for this custom batch.", "catchmentDescription": "FRESNO, FRESNO, CA", "traumaCareLevel": "GENERAL ACUTE CARE", "publicFacingCaveat": "Need public data CCN/entity_id reconciliation because project row lacks CCN while CMS enrollment has 053032" }, "religiousAffiliation": { "affiliation": "Secular/no evidence", "affiliationType": "not_established", "sponsorOrOrder": "", "faithBasedSystem": "", "scope": "not_established", "confidence": "medium", "sourceIds": [], "sourceUrls": [], "evidenceAsOf": "2026-07-04", "notes": "No current faith-based governance source captured; do not infer beyond this review." }, "qualityAndLaborContext": { "immediateJeopardy2026SourceStatus": "Not reviewed in this Fresno batch.", "noCausationClaim": true, "note": "Contract, ownership, and affiliation signals are presented as context only; this release does not infer quality or labor causation." }, "leadership": [], "identifiers": { "ccn": "053032", "npi": null, "historicalCcns": [], "aliases": [] }, "ownershipHistory": [ { "relationship_id": "rel-sjv-vibra", "relationship_type": "owns", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "cms_owner_sjvrehab|cms_enroll_sjvrehab", "plain_english_summary": "CMS owner cache supports Vibra Healthcare direct ownership and Vibra Management control" }, { "relationship_id": "rel-sjv-mpt", "relationship_type": "security_interest", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "cms_owner_sjvrehab", "plain_english_summary": "CMS owner cache lists MPT of Fresno-Vibra LP security interest rows" } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [], "cmsOwnerRecords": [], "ownershipChain": { "model": "Fresno custom NEXT-style batch relationship graph. Edges are source-backed context, not automatic public label changes.", "confidence": "high", "nodes": [ { "id": "0039693720", "label": "SAN JOAQUIN VALLEY REHABILITATION HOSPITAL", "kind": "hospital", "evidence": "Reviewed in next-50-2026-07-04-fresno-city-001." }, { "id": "vibra-healthcare", "label": "vibra healthcare", "kind": "organization", "evidence": "CMS owner cache supports Vibra Healthcare direct ownership and Vibra Management control" }, { "id": "mpt-of-fresno-vibra-lp", "label": "mpt of fresno vibra lp", "kind": "organization", "evidence": "CMS owner cache lists MPT of Fresno-Vibra LP security interest rows" } ], "edges": [ { "id": "rel-sjv-vibra", "from": "0039693720", "to": "vibra-healthcare", "relationship": "direct_owner_and_manager", "confidence": "high", "sourceIds": [ "cms_owner_sjvrehab", "cms_enroll_sjvrehab" ], "note": "Relationship edge is source-backed but public display still requires validation/approval." }, { "id": "rel-sjv-mpt", "from": "0039693720", "to": "mpt-of-fresno-vibra-lp", "relationship": "security_interest", "confidence": "medium", "sourceIds": [ "cms_owner_sjvrehab" ], "note": "Relationship edge is source-backed but public display still requires validation/approval." } ], "caveats": [ "Need public data CCN/entity_id reconciliation because project row lacks CCN while CMS enrollment has 053032", "Need public-data CCN/entity reconciliation because project row lacked CCN while CMS enrollment has 053032.", "Research completed structurally for this custom Fresno NEXT-style batch, but no stronger public label should be published without exact approval and validation gates." ] }, "ownershipConnections": [ { "entityName": "vibra healthcare", "entityKind": "organization", "relationship": "direct_owner_and_manager", "classification": "high", "evidenceSourceIds": [ "cms_owner_sjvrehab", "cms_enroll_sjvrehab" ], "note": "CMS owner cache supports Vibra Healthcare direct ownership and Vibra Management control" }, { "entityName": "mpt of fresno vibra lp", "entityKind": "organization", "relationship": "security_interest", "classification": "medium", "evidenceSourceIds": [ "cms_owner_sjvrehab" ], "note": "CMS owner cache lists MPT of Fresno-Vibra LP security interest rows" } ], "importantLinks": [ { "label": "CMS Hospital Enrollments local cache", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "sourceId": "cms_enroll_sjvrehab", "note": "7173 North Sharon Avenue Operating Company LLC is enrolled as San Joaquin Valley Rehabilitation Hospital, LLC/proprietary, at 7173 N Sharon Ave. Limit: Does not identify all indirect owners alone. Audit location: research/cache/hospital-enrollments.csv; CCN 053032 row" }, { "label": "CMS Hospital All Owners local cache", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "sourceId": "cms_owner_sjvrehab", "note": "Owner rows show Vibra Healthcare LLC direct ownership, Vibra Management LLC operational control, Vibra Holdings One LLC, MPT of Fresno-Vibra LP security interest, and related holding/security rows. Limit: Does not prove private equity ownership. Audit location: research/cache/hospital-all-owners.csv; Associate ID 5395655377 owner rows" }, { "label": "San Joaquin Valley Rehabilitation Hospital profile", "url": "https://hcai.ca.gov/facility/san-joaquin-valley-rehabilitation-hospital/", "sourceId": "hcai_sjvrehab", "note": "San Joaquin Valley Rehabilitation Hospital is open, licensed as a general acute care hospital, with 62 licensed beds. Limit: Does not show the ownership/control tree. Hospital profile lines 204-215" } ], "descriptiveTrends": [], "systemConnections": [ { "systemName": "vibra healthcare", "relationship": "direct_owner_and_manager", "evidenceSourceIds": [ "cms_owner_sjvrehab", "cms_enroll_sjvrehab" ], "facilities": [ { "name": "SAN JOAQUIN VALLEY REHABILITATION HOSPITAL", "role": "CMS owner cache supports Vibra Healthcare direct ownership and Vibra Management control", "city": "FRESNO", "state": "CA", "recordId": "0039693720", "note": "Relationship edge is source-backed but public display still requires validation/approval." } ] }, { "systemName": "mpt of fresno vibra lp", "relationship": "security_interest", "evidenceSourceIds": [ "cms_owner_sjvrehab" ], "facilities": [ { "name": "SAN JOAQUIN VALLEY REHABILITATION HOSPITAL", "role": "CMS owner cache lists MPT of Fresno-Vibra LP security interest rows", "city": "FRESNO", "state": "CA", "recordId": "0039693720", "note": "Relationship edge is source-backed but public display still requires validation/approval." } ] } ], "directConnections": [ "7173 North Sharon Avenue Operating Company LLC; Vibra Healthcare LLC direct owner in CMS owner cache", "CMS owner cache shows Vibra Management LLC operational/managerial control, MPT of Fresno-Vibra LP security interest, and for-profit holding/security entities", "CMS owner cache supports Vibra Healthcare direct ownership and Vibra Management control", "CMS owner cache lists MPT of Fresno-Vibra LP security interest rows" ], "actions": [], "contradictions": [], "limitations": [ "Need public data CCN/entity_id reconciliation because project row lacks CCN while CMS enrollment has 053032", "Need public-data CCN/entity reconciliation because project row lacked CCN while CMS enrollment has 053032.", "Research completed structurally for this custom Fresno NEXT-style batch, but no stronger public label should be published without exact approval and validation gates." ], "unavailableFields": [ "Need public data CCN/entity_id reconciliation because project row lacks CCN while CMS enrollment has 053032", "Need public-data CCN/entity reconciliation because project row lacked CCN while CMS enrollment has 053032.", "Research completed structurally for this custom Fresno NEXT-style batch, but no stronger public label should be published without exact approval and validation gates." ], "sources": [ { "source_id": "cms_enroll_sjvrehab", "title": "CMS Hospital Enrollments local cache", "publisher": "CMS", "publication_date": "2026-06-24", "retrieved_at": "2026-07-04", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "high", "research_note": "7173 North Sharon Avenue Operating Company LLC is enrolled as San Joaquin Valley Rehabilitation Hospital, LLC/proprietary, at 7173 N Sharon Ave. Limit: Does not identify all indirect owners alone. Audit location: research/cache/hospital-enrollments.csv; CCN 053032 row" }, { "source_id": "cms_owner_sjvrehab", "title": "CMS Hospital All Owners local cache", "publisher": "CMS", "publication_date": "2026-06-24", "retrieved_at": "2026-07-04", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "high", "research_note": "Owner rows show Vibra Healthcare LLC direct ownership, Vibra Management LLC operational control, Vibra Holdings One LLC, MPT of Fresno-Vibra LP security interest, and related holding/security rows. Limit: Does not prove private equity ownership. Audit location: research/cache/hospital-all-owners.csv; Associate ID 5395655377 owner rows" }, { "source_id": "hcai_sjvrehab", "title": "San Joaquin Valley Rehabilitation Hospital profile", "publisher": "HCAI", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://hcai.ca.gov/facility/san-joaquin-valley-rehabilitation-hospital/", "reliability_tier": "high", "research_note": "San Joaquin Valley Rehabilitation Hospital is open, licensed as a general acute care hospital, with 62 licensed beds. Limit: Does not show the ownership/control tree. Hospital profile lines 204-215" } ] }