{
  "schemaVersion": 3,
  "entityId": "050082",
  "canonicalName": "ST JOHNS REGIONAL MEDICAL CENTER",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "ST JOHNS REGIONAL MEDICAL CENTER appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
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    "npi": "1073665360",
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        "alias": "DIGNITY HEALTH",
        "alias_type": "cms_legal_name",
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      },
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        "alias": "ST. JOHN'S HOSPITAL CAMARILLO",
        "alias_type": "cms_dba",
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      "to_entity_id": "050082",
      "relationship_type": "venture_backing",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "undefined is reported as an investment backer; this is not treated as a completed ownership claim.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
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  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date",
    "Official facility URL"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:050082",
        "label": "ST JOHNS REGIONAL MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:commonspirit-health",
        "label": "CommonSpirit Health",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:marvin-o-quinn:0",
        "label": "MARVIN O'QUINN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:marvin-o-quinn:1",
        "label": "MARVIN O'QUINN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:commonspirit-health:2",
        "label": "COMMONSPIRIT HEALTH",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:scott-carswell:3",
        "label": "SCOTT CARSWELL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:dignity-health:4",
        "label": "DIGNITY HEALTH",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:daniel-morissette:5",
        "label": "DANIEL MORISSETTE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:mitch-melfi:6",
        "label": "MITCH MELFI",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:mitch-melfi:7",
        "label": "MITCH MELFI",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:elizabeth-shih:8",
        "label": "ELIZABETH SHIH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:elizabeth-shih:9",
        "label": "ELIZABETH SHIH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:steven-scharmann:10",
        "label": "STEVEN SCHARMANN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:steven-scharmann:11",
        "label": "STEVEN SCHARMANN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:john-petersdorf:12",
        "label": "JOHN PETERSDORF",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:john-petersdorf:13",
        "label": "JOHN PETERSDORF",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:commonspirit-health->facility:050082",
        "from": "organization:commonspirit-health",
        "to": "facility:050082",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:marvin-o-quinn:0->facility:050082",
        "from": "cms-owner:marvin-o-quinn:0",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 02/01/2019"
      },
      {
        "id": "cms-owner:marvin-o-quinn:1->facility:050082",
        "from": "cms-owner:marvin-o-quinn:1",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/27/2021"
      },
      {
        "id": "cms-owner:commonspirit-health:2->facility:050082",
        "from": "cms-owner:commonspirit-health:2",
        "to": "facility:050082",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/01/2019"
      },
      {
        "id": "cms-owner:scott-carswell:3->facility:050082",
        "from": "cms-owner:scott-carswell:3",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/27/2021"
      },
      {
        "id": "cms-owner:dignity-health:4->facility:050082",
        "from": "cms-owner:dignity-health:4",
        "to": "facility:050082",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/23/2007"
      },
      {
        "id": "cms-owner:daniel-morissette:5->facility:050082",
        "from": "cms-owner:daniel-morissette:5",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 02/01/2019"
      },
      {
        "id": "cms-owner:mitch-melfi:6->facility:050082",
        "from": "cms-owner:mitch-melfi:6",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 01/27/2021"
      },
      {
        "id": "cms-owner:mitch-melfi:7->facility:050082",
        "from": "cms-owner:mitch-melfi:7",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/27/2021"
      },
      {
        "id": "cms-owner:elizabeth-shih:8->facility:050082",
        "from": "cms-owner:elizabeth-shih:8",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 02/01/2019"
      },
      {
        "id": "cms-owner:elizabeth-shih:9->facility:050082",
        "from": "cms-owner:elizabeth-shih:9",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/27/2021"
      },
      {
        "id": "cms-owner:steven-scharmann:10->facility:050082",
        "from": "cms-owner:steven-scharmann:10",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 11/14/2022"
      },
      {
        "id": "cms-owner:steven-scharmann:11->facility:050082",
        "from": "cms-owner:steven-scharmann:11",
        "to": "facility:050082",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 0% reported ownership · associated 02/01/2019"
      },
      {
        "id": "cms-owner:john-petersdorf:12->facility:050082",
        "from": "cms-owner:john-petersdorf:12",
        "to": "facility:050082",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 11/14/2022"
      },
      {
        "id": "cms-owner:john-petersdorf:13->facility:050082",
        "from": "cms-owner:john-petersdorf:13",
        "to": "facility:050082",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 0% reported ownership · associated 02/01/2019"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 488063094,
      "latestValue": 647332476,
      "absoluteChange": 159269382,
      "percentChange": 32.632949296510425,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 532119571,
      "latestValue": 653202728,
      "absoluteChange": 121083157,
      "percentChange": 22.754877587466144,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": -29732130,
      "latestValue": 4878561,
      "absoluteChange": 34610691,
      "percentChange": 116.4083804288492,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 505237515,
      "latestValue": 563941927,
      "absoluteChange": 58704412,
      "percentChange": 11.619171232761683,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 625003895,
      "latestValue": 766394138,
      "absoluteChange": 141390243,
      "percentChange": 22.6222978978395,
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    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 13606577,
      "latestValue": 14376977,
      "absoluteChange": 770400,
      "percentChange": 5.661967738101949,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1455.87,
      "latestValue": 1515.21,
      "absoluteChange": 59.340000000000146,
      "percentChange": 4.075913371386192,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 304,
      "latestValue": 298,
      "absoluteChange": -6,
      "percentChange": -1.9736842105263157,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 62666,
      "latestValue": 67630,
      "absoluteChange": 4964,
      "percentChange": 7.921360865541123,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 12140,
      "latestValue": 12848,
      "absoluteChange": 708,
      "percentChange": 5.831960461285008,
      "unit": "discharges"
    }
  ]
}
