{ "schemaVersion": 4, "entityId": "0196784114", "canonicalName": "EXODUS PSYCHIATRIC HEALTH FACILITY FRESNO", "status": "unknown", "statusLabel": "Unresolved after source-family review", "summary": "Exodus Psychiatric Health Facility Fresno was reviewed in the Fresno custom NEXT-style batch. Fresno County approved Exodus adult PHF/CSU agreements through 2027 and amended adult PHF service location to 3127 N Millbrook in 2024; HCAI still lists Exodus PHF open at Kings Canyon. 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": "medium", "source_count": 5, "ownership_source_count": 5, "identity_match_method": "Entity ID 0196784114; no public CCN confirmed in batch", "publication_decision": "Add county-contract/service-provider edge; avoid ownership label beyond contractor/operator until license/operator records are reconciled", "batch_id": "next-50-2026-07-04-fresno-city-001" }, "firstGlance": { "taxOwnershipType": "Unknown / contractor pending license verification", "operator": "Exodus Recovery Inc.", "directPeOwnership": "No documented PE link", "peRelationship": "No documented PE link", "institutionalShareholderContext": "No direct institutional-shareholder ownership claim is made from this batch.", "populationServedEstimate": 0, "populationServedLabel": "Not estimated in this Fresno batch", "careLevel": "PSYCHIATRIC", "currentCeo": "Leadership research pending", "previousRelevantCeo": "Not identified in this Fresno batch", "operatorType": "Behavioral health contractor", "operatorName": "Exodus Recovery Inc.", "parentSystem": "Exodus Recovery Inc. / Fresno County contractor", "affiliatedSystem": "Exodus Recovery Inc. / Fresno County contractor", "religiousAffiliation": "Secular/no evidence", "confidence": "medium", "evidenceAsOf": "2026-07-04", "bottomLine": "Fresno County approved Exodus adult PHF/CSU agreements through 2027 and amended adult PHF service location to 3127 N Millbrook in 2024; HCAI still lists Exodus PHF open at Kings Canyon." }, "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": "PSYCHIATRIC", "publicFacingCaveat": "Later county materials suggest some PHF location changes; exact current adult PHF location and license/operator should be checked" }, "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": "", "npi": null, "historicalCcns": [], "aliases": [] }, "ownershipHistory": [ { "relationship_id": "rel-exodus-county", "relationship_type": "operates", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "fresno_county_exodus_2022|fresno_county_exodus_2024_move|hcai_exodus", "plain_english_summary": "Fresno County materials support Exodus adult PHF/CSU agreements and 2024 relocation to Millbrook, while HCAI still lists Kings Canyon open" } ], "acquisitionEvents": [ { "date": "2022-07-01", "title": "county contract start", "detail": "Fresno County approved Exodus PHF/CSU agreements and facility use through 2027-06-30.", "sourceIds": [ "fresno_county_exodus_2022" ] }, { "date": "2024-11-05", "title": "county contract relocation", "detail": "County amended Exodus adult PHF services from 4411 E Kings Canyon to 3127 N Millbrook with term unchanged through 2027-06-30.", "sourceIds": [ "fresno_county_exodus_2024_move" ] } ], "financialAndUtilizationSeries": [], "cmsOwnerRecords": [], "ownershipChain": { "model": "Fresno custom NEXT-style batch relationship graph. Edges are source-backed context, not automatic public label changes.", "confidence": "medium", "nodes": [ { "id": "0196784114", "label": "EXODUS PSYCHIATRIC HEALTH FACILITY FRESNO", "kind": "hospital", "evidence": "Reviewed in next-50-2026-07-04-fresno-city-001." }, { "id": "fresno-county", "label": "fresno county", "kind": "organization", "evidence": "Fresno County materials support Exodus adult PHF/CSU agreements and 2024 relocation to Millbrook, while HCAI still lists Kings Canyon open" } ], "edges": [ { "id": "rel-exodus-county", "from": "0196784114", "to": "fresno-county", "relationship": "county_behavioral_health_contract", "confidence": "medium", "sourceIds": [ "fresno_county_exodus_2022", "fresno_county_exodus_2024_move", "hcai_exodus" ], "note": "Relationship edge is source-backed but public display still requires validation/approval." } ], "caveats": [ "Later county materials suggest some PHF location changes; exact current adult PHF location and license/operator should be checked", "Conflict between HCAI Kings Canyon profile and county Millbrook relocation requires current license/operator verification.", "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": "fresno county", "entityKind": "organization", "relationship": "county_behavioral_health_contract", "classification": "medium", "evidenceSourceIds": [ "fresno_county_exodus_2022", "fresno_county_exodus_2024_move", "hcai_exodus" ], "note": "Fresno County materials support Exodus adult PHF/CSU agreements and 2024 relocation to Millbrook, while HCAI still lists Kings Canyon open" } ], "importantLinks": [ { "label": "Fresno County File 22-0665", "url": "https://fresnocounty.legistar.com/LegislationDetail.aspx?From=RSS&GUID=765BDFCA-2D89-493F-886F-8C5609692170&ID=5717116", "sourceId": "fresno_county_exodus_2022", "note": "Fresno County approved Exodus Recovery agreements for 24/7 crisis stabilization and PHF services, with a five-year term and facility-use agreement at 4411 E Kings Canyon Road through 2027-06-30. Limit: Does not prove hospital ownership by Exodus. Lines 35-42 and 70-77 from web capture" }, { "label": "Amendment due to Relocation of Psychiatric Health Facilities and associated Agreements", "url": "https://fresnocounty.legistar.com/LegislationDetail.aspx?From=RSS&GUID=C92E53CB-B1DE-4B62-A0D8-7CBF360AA2FF&ID=6993970", "sourceId": "fresno_county_exodus_2024_move", "note": "Fresno County amended Exodus Agreement 22-306 to move adult acute inpatient PHF services from 4411 E Kings Canyon Road to 3127 N Millbrook Avenue, with term unchanged through 2027-06-30 and total increased to $32,425,668. Limit: Does not resolve why HCAI still lists the Kings Canyon facility profile open, nor prove hospital ownership by Exodus. Recommended action and report lines" }, { "label": "Exodus Psychiatric Health Facility Fresno profile", "url": "https://hcai.ca.gov/facility/exodus-psychiatric-health-facility-fresno/", "sourceId": "hcai_exodus", "note": "Exodus PHF Fresno is open at 4411 E Kings Canyon Road with 16 licensed beds. Limit: Does not resolve county-contract location changes by itself. Hospital profile lines 199-210" }, { "label": "Psychiatric Health Facility - PHF - Fresno", "url": "https://www.exodusrecovery.com/fresno-programs/fresno-csc-in-patient/", "sourceId": "exodus_phf_page", "note": "Exodus publishes Fresno County East Kings Canyon PHF/crisis program pages. Limit: Does not provide county contract terms. Jina reader Fresno County Locations section" }, { "label": "Fresno County System of Care", "url": "https://www.fresnocountyca.gov/Departments/Behavioral-Health/Providers/System-of-Care", "sourceId": "fresno_system_of_care", "note": "County system map lists Central Star for youth PHF and Exodus for adult PHF/crisis stabilization services. Limit: Does not disclose contract dollar values or license ownership. Lines 425-461 from web capture" } ], "descriptiveTrends": [], "systemConnections": [ { "systemName": "fresno county", "relationship": "county_behavioral_health_contract", "evidenceSourceIds": [ "fresno_county_exodus_2022", "fresno_county_exodus_2024_move", "hcai_exodus" ], "facilities": [ { "name": "EXODUS PSYCHIATRIC HEALTH FACILITY FRESNO", "role": "Fresno County materials support Exodus adult PHF/CSU agreements and 2024 relocation to Millbrook, while HCAI still lists Kings Canyon open", "city": "FRESNO", "state": "CA", "recordId": "0196784114", "note": "Relationship edge is source-backed but public display still requires validation/approval." } ] } ], "directConnections": [ "Exodus Recovery Inc service provider for Fresno County adult PHF/crisis services", "Fresno County 2022 board item approved Exodus agreements and facility-use agreement effective 2022-07-01 through 2027-06-30, including 4411 E. Kings Canyon Road space; HCAI lists Exodus PHF Fresno open with 16 beds at that address", "Fresno County materials support Exodus adult PHF/CSU agreements and 2024 relocation to Millbrook, while HCAI still lists Kings Canyon open" ], "actions": [ "2022-07-01: Fresno County approved Exodus PHF/CSU agreements and facility use through 2027-06-30.", "2024-11-05: County amended Exodus adult PHF services from 4411 E Kings Canyon to 3127 N Millbrook with term unchanged through 2027-06-30." ], "contradictions": [ { "topic": "HCAI lists Exodus PHF Fresno open at 4411 E Kings Canyon, while Fresno County 2024 amendment says adult PHF services moved to 3127 N Millbrook with same contract term.", "claim_a": "HCAI lists Exodus PHF Fresno open at 4411 E Kings Canyon, while Fresno County 2024 amendment says adult PHF services moved to 3127 N Millbrook with same contract term.", "claim_b": "Sources: hcai_exodus|fresno_county_exodus_2024_move", "resolution_status": "Do not update public location/operator label until state license and county contract records are reconciled." } ], "limitations": [ "Later county materials suggest some PHF location changes; exact current adult PHF location and license/operator should be checked", "Conflict between HCAI Kings Canyon profile and county Millbrook relocation requires current license/operator verification.", "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": [ "Later county materials suggest some PHF location changes; exact current adult PHF location and license/operator should be checked", "Conflict between HCAI Kings Canyon profile and county Millbrook relocation requires current license/operator verification.", "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": "fresno_county_exodus_2022", "title": "Fresno County File 22-0665", "publisher": "Fresno County Board of Supervisors", "publication_date": "2022-07-12", "retrieved_at": "2026-07-04", "url": "https://fresnocounty.legistar.com/LegislationDetail.aspx?From=RSS&GUID=765BDFCA-2D89-493F-886F-8C5609692170&ID=5717116", "reliability_tier": "high", "research_note": "Fresno County approved Exodus Recovery agreements for 24/7 crisis stabilization and PHF services, with a five-year term and facility-use agreement at 4411 E Kings Canyon Road through 2027-06-30. Limit: Does not prove hospital ownership by Exodus. Lines 35-42 and 70-77 from web capture" }, { "source_id": "fresno_county_exodus_2024_move", "title": "Amendment due to Relocation of Psychiatric Health Facilities and associated Agreements", "publisher": "Fresno County Board of Supervisors", "publication_date": "2024-11-05", "retrieved_at": "2026-07-04", "url": "https://fresnocounty.legistar.com/LegislationDetail.aspx?From=RSS&GUID=C92E53CB-B1DE-4B62-A0D8-7CBF360AA2FF&ID=6993970", "reliability_tier": "high", "research_note": "Fresno County amended Exodus Agreement 22-306 to move adult acute inpatient PHF services from 4411 E Kings Canyon Road to 3127 N Millbrook Avenue, with term unchanged through 2027-06-30 and total increased to $32,425,668. Limit: Does not resolve why HCAI still lists the Kings Canyon facility profile open, nor prove hospital ownership by Exodus. Recommended action and report lines" }, { "source_id": "hcai_exodus", "title": "Exodus Psychiatric Health Facility Fresno profile", "publisher": "HCAI", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://hcai.ca.gov/facility/exodus-psychiatric-health-facility-fresno/", "reliability_tier": "high", "research_note": "Exodus PHF Fresno is open at 4411 E Kings Canyon Road with 16 licensed beds. Limit: Does not resolve county-contract location changes by itself. Hospital profile lines 199-210" }, { "source_id": "exodus_phf_page", "title": "Psychiatric Health Facility - PHF - Fresno", "publisher": "Exodus Recovery Inc", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://www.exodusrecovery.com/fresno-programs/fresno-csc-in-patient/", "reliability_tier": "medium", "research_note": "Exodus publishes Fresno County East Kings Canyon PHF/crisis program pages. Limit: Does not provide county contract terms. Jina reader Fresno County Locations section" }, { "source_id": "fresno_system_of_care", "title": "Fresno County System of Care", "publisher": "Fresno County Department of Behavioral Health", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://www.fresnocountyca.gov/Departments/Behavioral-Health/Providers/System-of-Care", "reliability_tier": "high", "research_note": "County system map lists Central Star for youth PHF and Exodus for adult PHF/crisis stabilization services. Limit: Does not disclose contract dollar values or license ownership. Lines 425-461 from web capture" } ] }