{
  "schemaVersion": 3,
  "entityId": "050194",
  "canonicalName": "WATSONVILLE COMMUNITY HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "WATSONVILLE COMMUNITY HOSPITAL 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"
  },
  "identifiers": {
    "ccn": "050194",
    "npi": "1619607488",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "WATSONVILLE COMMUNITY HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-050194",
      "from_entity_id": "reported owner",
      "to_entity_id": "050194",
      "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."
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [
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      "metric_id": "050194-net_patient_revenue-12-31-2023",
      "entity_id": "050194",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "133564807",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-net_patient_revenue-12-31-2022",
      "entity_id": "050194",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "46082870",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-net_patient_revenue-08-31-2022",
      "entity_id": "050194",
      "metric_name": "net_patient_revenue",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "10888835",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-operating_expense-12-31-2023",
      "entity_id": "050194",
      "metric_name": "operating_expense",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "144973491",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-operating_expense-12-31-2022",
      "entity_id": "050194",
      "metric_name": "operating_expense",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "47308708",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-operating_expense-08-31-2022",
      "entity_id": "050194",
      "metric_name": "operating_expense",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "12961752",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-net_income-12-31-2023",
      "entity_id": "050194",
      "metric_name": "net_income",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "-6323258",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-net_income-12-31-2022",
      "entity_id": "050194",
      "metric_name": "net_income",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "-1138320",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-net_income-08-31-2022",
      "entity_id": "050194",
      "metric_name": "net_income",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "20666093",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-total_assets-12-31-2023",
      "entity_id": "050194",
      "metric_name": "total_assets",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "24920971",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-total_assets-12-31-2022",
      "entity_id": "050194",
      "metric_name": "total_assets",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "33065709",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-total_assets-08-31-2022",
      "entity_id": "050194",
      "metric_name": "total_assets",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "8578764",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-total_liabilities-12-31-2023",
      "entity_id": "050194",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "32412055",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-total_liabilities-12-31-2022",
      "entity_id": "050194",
      "metric_name": "total_liabilities",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "34204029",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-total_liabilities-08-31-2022",
      "entity_id": "050194",
      "metric_name": "total_liabilities",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "50972924",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-contract_labor_direct_patient_care-12-31-2023",
      "entity_id": "050194",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "6668078",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-contract_labor_direct_patient_care-12-31-2022",
      "entity_id": "050194",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "2358876",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-contract_labor_direct_patient_care-08-31-2022",
      "entity_id": "050194",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "904120",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-fte_employees-12-31-2023",
      "entity_id": "050194",
      "metric_name": "fte_employees",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "475.57",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-fte_employees-12-31-2022",
      "entity_id": "050194",
      "metric_name": "fte_employees",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "230.45",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-fte_employees-08-31-2022",
      "entity_id": "050194",
      "metric_name": "fte_employees",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "40.37",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-beds-12-31-2023",
      "entity_id": "050194",
      "metric_name": "beds",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "106",
      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-beds-12-31-2022",
      "entity_id": "050194",
      "metric_name": "beds",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "106",
      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-beds-08-31-2022",
      "entity_id": "050194",
      "metric_name": "beds",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "106",
      "unit": "beds",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-patient_days-12-31-2023",
      "entity_id": "050194",
      "metric_name": "patient_days",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "14557",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-patient_days-12-31-2022",
      "entity_id": "050194",
      "metric_name": "patient_days",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "4360",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-patient_days-08-31-2022",
      "entity_id": "050194",
      "metric_name": "patient_days",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "1216",
      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-discharges-12-31-2023",
      "entity_id": "050194",
      "metric_name": "discharges",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "3458",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-discharges-12-31-2022",
      "entity_id": "050194",
      "metric_name": "discharges",
      "period_start": "09/01/2022",
      "period_end": "12/31/2022",
      "value": "1217",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050194-discharges-08-31-2022",
      "entity_id": "050194",
      "metric_name": "discharges",
      "period_start": "08/01/2022",
      "period_end": "08/31/2022",
      "value": "233",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    }
  ],
  "cmsOwnerRecords": [
    {
      "organization": "JAMES GALLAGHER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/06/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KATHERINE GABRIEL-COX",
      "role": "CORPORATE DIRECTOR",
      "association_date": "04/29/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "PAJARO VALLEY HEALTH CARE DISTRICT",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "08/31/2022",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEPHEN GRAY",
      "role": "CORPORATE OFFICER",
      "association_date": "11/01/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEPHEN GRAY",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "11/01/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSE ANTONIO NUNEZ PALOMINO",
      "role": "CORPORATE OFFICER",
      "association_date": "04/29/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSE ANTONIO NUNEZ PALOMINO",
      "role": "CORPORATE DIRECTOR",
      "association_date": "04/29/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ALEXANDRA FRIEL",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/16/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARCUS PIMENTEL",
      "role": "CORPORATE OFFICER",
      "association_date": "04/29/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARCUS PIMENTEL",
      "role": "CORPORATE DIRECTOR",
      "association_date": "04/29/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [],
  "actions": [],
  "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:050194",
        "label": "WATSONVILLE COMMUNITY HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:pajaro-valley-health-care-district",
        "label": "PAJARO VALLEY HEALTH CARE DISTRICT",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:james-gallagher:0",
        "label": "JAMES GALLAGHER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:katherine-gabriel-cox:1",
        "label": "KATHERINE GABRIEL-COX",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:pajaro-valley-health-care-district:2",
        "label": "PAJARO VALLEY HEALTH CARE DISTRICT",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:stephen-gray:3",
        "label": "STEPHEN GRAY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:stephen-gray:4",
        "label": "STEPHEN GRAY",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:jose-antonio-nunez-palomino:5",
        "label": "JOSE ANTONIO NUNEZ PALOMINO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:jose-antonio-nunez-palomino:6",
        "label": "JOSE ANTONIO NUNEZ PALOMINO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:alexandra-friel:7",
        "label": "ALEXANDRA FRIEL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:marcus-pimentel:8",
        "label": "MARCUS PIMENTEL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:marcus-pimentel:9",
        "label": "MARCUS PIMENTEL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:pajaro-valley-health-care-district->facility:050194",
        "from": "organization:pajaro-valley-health-care-district",
        "to": "facility:050194",
        "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:james-gallagher:0->facility:050194",
        "from": "cms-owner:james-gallagher:0",
        "to": "facility:050194",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 12/06/2022"
      },
      {
        "id": "cms-owner:katherine-gabriel-cox:1->facility:050194",
        "from": "cms-owner:katherine-gabriel-cox:1",
        "to": "facility:050194",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 04/29/2022"
      },
      {
        "id": "cms-owner:pajaro-valley-health-care-district:2->facility:050194",
        "from": "cms-owner:pajaro-valley-health-care-district:2",
        "to": "facility:050194",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 08/31/2022"
      },
      {
        "id": "cms-owner:stephen-gray:3->facility:050194",
        "from": "cms-owner:stephen-gray:3",
        "to": "facility:050194",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 11/01/2023"
      },
      {
        "id": "cms-owner:stephen-gray:4->facility:050194",
        "from": "cms-owner:stephen-gray:4",
        "to": "facility:050194",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 0% reported ownership · associated 11/01/2023"
      },
      {
        "id": "cms-owner:jose-antonio-nunez-palomino:5->facility:050194",
        "from": "cms-owner:jose-antonio-nunez-palomino:5",
        "to": "facility:050194",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 04/29/2022"
      },
      {
        "id": "cms-owner:jose-antonio-nunez-palomino:6->facility:050194",
        "from": "cms-owner:jose-antonio-nunez-palomino:6",
        "to": "facility:050194",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 04/29/2022"
      },
      {
        "id": "cms-owner:alexandra-friel:7->facility:050194",
        "from": "cms-owner:alexandra-friel:7",
        "to": "facility:050194",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 12/16/2024"
      },
      {
        "id": "cms-owner:marcus-pimentel:8->facility:050194",
        "from": "cms-owner:marcus-pimentel:8",
        "to": "facility:050194",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 04/29/2022"
      },
      {
        "id": "cms-owner:marcus-pimentel:9->facility:050194",
        "from": "cms-owner:marcus-pimentel:9",
        "to": "facility:050194",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 04/29/2022"
      }
    ],
    "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": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 10888835,
      "latestValue": 133564807,
      "absoluteChange": 122675972,
      "percentChange": 1126.621645015284,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 12961752,
      "latestValue": 144973491,
      "absoluteChange": 132011739,
      "percentChange": 1018.471414975383,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 20666093,
      "latestValue": -6323258,
      "absoluteChange": -26989351,
      "percentChange": -130.59725899810863,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 8578764,
      "latestValue": 24920971,
      "absoluteChange": 16342207,
      "percentChange": 190.49605514267554,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 50972924,
      "latestValue": 32412055,
      "absoluteChange": -18560869,
      "percentChange": -36.41319261967393,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 904120,
      "latestValue": 6668078,
      "absoluteChange": 5763958,
      "percentChange": 637.5213467238863,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 40.37,
      "latestValue": 475.57,
      "absoluteChange": 435.2,
      "percentChange": 1078.0282387911816,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 106,
      "latestValue": 106,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1216,
      "latestValue": 14557,
      "absoluteChange": 13341,
      "percentChange": 1097.1217105263158,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 233,
      "latestValue": 3458,
      "absoluteChange": 3225,
      "percentChange": 1384.1201716738196,
      "unit": "discharges"
    }
  ]
}
