{
  "schemaVersion": 3,
  "entityId": "050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
  "canonicalName": "KERN MEDICAL CENTER D/P APH",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "KERN 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"
  },
  "identifiers": {
    "ccn": "050315",
    "npi": "1689779324",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "SKYLINE HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ],
    "campus_location_id": "050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
    "legacy_host_id": "050315"
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-050315",
      "from_entity_id": "reported owner",
      "to_entity_id": "050315",
      "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": [],
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      "period_end": "06/30/2024",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050315-net_patient_revenue-06-30-2023",
      "entity_id": "050315",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "273220114",
      "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": "050315-net_patient_revenue-06-30-2022",
      "entity_id": "050315",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "273749676",
      "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": "050315-operating_expense-06-30-2024",
      "entity_id": "050315",
      "metric_name": "operating_expense",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "550129094",
      "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": "050315-operating_expense-06-30-2023",
      "entity_id": "050315",
      "metric_name": "operating_expense",
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      "value": "508086210",
      "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": "050315-operating_expense-06-30-2022",
      "entity_id": "050315",
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      "period_start": "07/01/2021",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050315-net_income-06-30-2024",
      "entity_id": "050315",
      "metric_name": "net_income",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050315-net_income-06-30-2023",
      "entity_id": "050315",
      "metric_name": "net_income",
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    {
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      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050315-total_assets-06-30-2023",
      "entity_id": "050315",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050315-total_assets-06-30-2022",
      "entity_id": "050315",
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      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
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      "entity_id": "050315",
      "metric_name": "total_liabilities",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050315-total_liabilities-06-30-2023",
      "entity_id": "050315",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2022",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
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      "better_when": "context_dependent",
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      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
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    },
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      "better_when": "context_dependent",
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    },
    {
      "metric_id": "050315-contract_labor_direct_patient_care-06-30-2023",
      "entity_id": "050315",
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    },
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      "entity_id": "050315",
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      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "050315-fte_employees-06-30-2023",
      "entity_id": "050315",
      "metric_name": "fte_employees",
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      "comparable_to_prior": "review_required"
    },
    {
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    },
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      "entity_id": "050315",
      "metric_name": "beds",
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      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
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      "comparable_to_prior": "review_required"
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      "unit": "days",
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      "comparable_to_prior": "review_required"
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      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
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      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
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      "better_when": "context_dependent",
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      "investment_firm": false,
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  "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.",
    "This campus/location dossier reuses the source packet for the same legacy hospital ID. Parent and sibling links still follow this location record’s separately qualified ownership fields; PE status was copied only after exact PE-field agreement."
  ],
  "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:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "label": "KERN MEDICAL CENTER D/P APH",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:kern-county-hospital-authority",
        "label": "KERN COUNTY HOSPITAL AUTHORITY",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:paul-pennington:0",
        "label": "PAUL PENNINGTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jonathan-blake:1",
        "label": "JONATHAN BLAKE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:jonathan-blake:2",
        "label": "JONATHAN BLAKE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:brenda-schneider:3",
        "label": "BRENDA SCHNEIDER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:public-hospital-district-no-2-klickitat-county-washington:4",
        "label": "PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:public-hospital-district-no-2-klickitat-county-washington:5",
        "label": "PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:juliet-pouillon:6",
        "label": "JULIET POUILLON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:juliet-pouillon:7",
        "label": "JULIET POUILLON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:leslie-dewey:8",
        "label": "LESLIE DEWEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:leslie-dewey:9",
        "label": "LESLIE DEWEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:robert-kimmes:10",
        "label": "ROBERT KIMMES",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:robert-kimmes:11",
        "label": "ROBERT KIMMES",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:ricky-knowles:12",
        "label": "RICKY KNOWLES",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:ricky-knowles:13",
        "label": "RICKY KNOWLES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:kern-county-hospital-authority->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "organization:kern-county-hospital-authority",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "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:paul-pennington:0->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:paul-pennington:0",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 01/01/2018"
      },
      {
        "id": "cms-owner:jonathan-blake:1->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:jonathan-blake:1",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 20% reported ownership · associated 01/01/2013"
      },
      {
        "id": "cms-owner:jonathan-blake:2->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:jonathan-blake:2",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 01/01/2013"
      },
      {
        "id": "cms-owner:brenda-schneider:3->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:brenda-schneider:3",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 100% reported ownership · associated 08/28/2006"
      },
      {
        "id": "cms-owner:public-hospital-district-no-2-klickitat-county-washington:4->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:public-hospital-district-no-2-klickitat-county-washington:4",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 01/01/1966"
      },
      {
        "id": "cms-owner:public-hospital-district-no-2-klickitat-county-washington:5->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:public-hospital-district-no-2-klickitat-county-washington:5",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 01/01/1966"
      },
      {
        "id": "cms-owner:juliet-pouillon:6->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:juliet-pouillon:6",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 20% reported ownership · associated 01/01/2016"
      },
      {
        "id": "cms-owner:juliet-pouillon:7->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:juliet-pouillon:7",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 01/01/2016"
      },
      {
        "id": "cms-owner:leslie-dewey:8->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:leslie-dewey:8",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 20% reported ownership · associated 01/01/2006"
      },
      {
        "id": "cms-owner:leslie-dewey:9->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:leslie-dewey:9",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 01/01/2006"
      },
      {
        "id": "cms-owner:robert-kimmes:10->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:robert-kimmes:10",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · 100% reported ownership · associated 01/14/2013"
      },
      {
        "id": "cms-owner:robert-kimmes:11->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:robert-kimmes:11",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 01/14/2013"
      },
      {
        "id": "cms-owner:ricky-knowles:12->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:ricky-knowles:12",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 20% reported ownership · associated 05/03/2019"
      },
      {
        "id": "cms-owner:ricky-knowles:13->facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "from": "cms-owner:ricky-knowles:13",
        "to": "facility:050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 05/03/2019"
      }
    ],
    "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": 273749676,
      "latestValue": 288168187,
      "absoluteChange": 14418511,
      "percentChange": 5.267042215604302,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 478789042,
      "latestValue": 550129094,
      "absoluteChange": 71340052,
      "percentChange": 14.900101243336309,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 141491461,
      "latestValue": 1286345,
      "absoluteChange": -140205116,
      "percentChange": -99.09086739870472,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 555910245,
      "latestValue": 564383150,
      "absoluteChange": 8472905,
      "percentChange": 1.5241498202646004,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 490856418,
      "latestValue": 496432897,
      "absoluteChange": 5576479,
      "percentChange": 1.1360713225919357,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 51906036,
      "latestValue": 27635619,
      "absoluteChange": -24270417,
      "percentChange": -46.75837122295373,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 1932.98,
      "latestValue": 2114.03,
      "absoluteChange": 181.05000000000018,
      "percentChange": 9.366366956719684,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 222,
      "latestValue": 222,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 60874,
      "latestValue": 59004,
      "absoluteChange": -1870,
      "percentChange": -3.0719190458980847,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 11369,
      "latestValue": 11923,
      "absoluteChange": 554,
      "percentChange": 4.872899991204151,
      "unit": "discharges"
    }
  ]
}
