{ "schemaVersion": 3, "entityId": "050763-loc-ca-los-angeles-l-a-downtown-medical-center", "canonicalName": "L.A. DOWNTOWN MEDICAL CENTER", "status": "signal", "statusLabel": "Documented investment signal", "summary": "L.A. DOWNTOWN MEDICAL CENTER - D/P APH 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": "050763", "npi": "1780183335", "historicalCcns": [], "aliases": [ { "alias": "L A DOWNTOWN MEDICAL CENTER LLC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "N/A", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ], "campus_location_id": "050763-loc-ca-los-angeles-l-a-downtown-medical-center", "legacy_host_id": "050763" }, "ownershipHistory": [ { "relationship_id": "rel-reportedowner-050763", "from_entity_id": "reported owner", "to_entity_id": "050763", "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": [ { "metric_id": "050763-net_patient_revenue-12-31-2023", "entity_id": "050763", "metric_name": "net_patient_revenue", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "86144458", "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": "050763-net_patient_revenue-12-31-2022", "entity_id": "050763", "metric_name": "net_patient_revenue", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "119853306", "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": "050763-net_patient_revenue-12-31-2021", "entity_id": "050763", "metric_name": "net_patient_revenue", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "87500042", "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": "050763-operating_expense-12-31-2023", "entity_id": "050763", "metric_name": "operating_expense", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "91909471", "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": "050763-operating_expense-12-31-2022", "entity_id": "050763", "metric_name": "operating_expense", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "139930047", "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": "050763-operating_expense-12-31-2021", "entity_id": "050763", "metric_name": "operating_expense", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "95114856", "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": "050763-net_income-12-31-2023", "entity_id": "050763", "metric_name": "net_income", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "-2696502", "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": "050763-net_income-12-31-2022", "entity_id": "050763", "metric_name": "net_income", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "-18388015", "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": "050763-net_income-12-31-2021", "entity_id": "050763", "metric_name": "net_income", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "7516858", "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": "050763-total_assets-12-31-2023", "entity_id": "050763", "metric_name": "total_assets", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "78452168", "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": "050763-total_assets-12-31-2022", "entity_id": "050763", "metric_name": "total_assets", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "61882628", "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": "050763-total_assets-12-31-2021", "entity_id": "050763", "metric_name": "total_assets", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "60086925", "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": "050763-total_liabilities-12-31-2023", "entity_id": "050763", "metric_name": "total_liabilities", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "65607927", "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": "050763-total_liabilities-12-31-2022", "entity_id": "050763", "metric_name": "total_liabilities", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "48910246", "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": "050763-total_liabilities-12-31-2021", "entity_id": "050763", "metric_name": "total_liabilities", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "51091154", "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": "050763-contract_labor_direct_patient_care-12-31-2023", "entity_id": "050763", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "3289048", "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": "050763-contract_labor_direct_patient_care-12-31-2022", "entity_id": "050763", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "4400059", "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": "050763-contract_labor_direct_patient_care-12-31-2021", "entity_id": "050763", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "1550779", "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": "050763-fte_employees-12-31-2023", "entity_id": "050763", "metric_name": "fte_employees", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "361.04", "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": "050763-fte_employees-12-31-2022", "entity_id": "050763", "metric_name": "fte_employees", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "1504.59", "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": "050763-fte_employees-12-31-2021", "entity_id": "050763", "metric_name": "fte_employees", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "1504.59", "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": "050763-beds-12-31-2023", "entity_id": "050763", "metric_name": "beds", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "315", "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": "050763-beds-12-31-2022", "entity_id": "050763", "metric_name": "beds", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "315", "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": "050763-beds-12-31-2021", "entity_id": "050763", "metric_name": "beds", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "234", "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": "050763-patient_days-12-31-2023", "entity_id": "050763", "metric_name": "patient_days", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "56858", "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": "050763-patient_days-12-31-2022", "entity_id": "050763", "metric_name": "patient_days", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "65856", "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": "050763-patient_days-12-31-2021", "entity_id": "050763", "metric_name": "patient_days", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "69770", "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": "050763-discharges-12-31-2023", "entity_id": "050763", "metric_name": "discharges", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "6474", "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": "050763-discharges-12-31-2022", "entity_id": "050763", "metric_name": "discharges", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "7204", "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": "050763-discharges-12-31-2021", "entity_id": "050763", "metric_name": "discharges", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "7285", "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": "ANN FRANCISCO", "role": "W-2 MANAGING EMPLOYEE", "association_date": "09/06/2022", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ANN FRANCISCO", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "09/06/2022", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CHRISTOPHER SIREGAR", "role": "W-2 MANAGING EMPLOYEE", "association_date": "03/01/2025", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CHRISTOPHER SIREGAR", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "03/01/2025", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WILLIAM NELSON", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "03/04/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WILLIAM NELSON", "role": "5% OR GREATER SECURITY INTEREST", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WILLIAM NELSON", "role": "CORPORATE OFFICER", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WILLIAM NELSON", "role": "CORPORATE DIRECTOR", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WILLIAM NELSON", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WILLIAM NELSON", "role": "OTHER", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LAKSHMAN MAKANDURA", "role": "CONTRACTED MANAGING EMPLOYEE", "association_date": "01/01/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "L A DOWNTOWN MEDICAL CENTER LLC", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "03/04/2019", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "L A DOWNTOWN MEDICAL CENTER LLC", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "03/04/2019", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "VICKI ROLLINS", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "VICKI ROLLINS", "role": "CORPORATE OFFICER", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "VICKI ROLLINS", "role": "CORPORATE DIRECTOR", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "VICKI ROLLINS", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "VICKI ROLLINS", "role": "OTHER", "association_date": "03/01/2019", "percentage_ownership": "50", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LA DOWNTOWN MEDICAL CENTER PROPERTY LLC", "role": "5% OR GREATER MORTGAGE INTEREST", "association_date": "03/04/2019", "percentage_ownership": "100", "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.", "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:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "label": "L.A. DOWNTOWN MEDICAL CENTER", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:l-a-downtown-medical-center-llc", "label": "L A DOWNTOWN MEDICAL CENTER LLC", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:ann-francisco:0", "label": "ANN FRANCISCO", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:ann-francisco:1", "label": "ANN FRANCISCO", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:christopher-siregar:2", "label": "CHRISTOPHER SIREGAR", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:christopher-siregar:3", "label": "CHRISTOPHER SIREGAR", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:william-nelson:4", "label": "WILLIAM NELSON", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:william-nelson:5", "label": "WILLIAM NELSON", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER SECURITY INTEREST" }, { "id": "cms-owner:william-nelson:6", "label": "WILLIAM NELSON", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:william-nelson:7", "label": "WILLIAM NELSON", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:william-nelson:8", "label": "WILLIAM NELSON", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:william-nelson:9", "label": "WILLIAM NELSON", "kind": "cms_owner_or_controller", "evidence": "OTHER" }, { "id": "cms-owner:lakshman-makandura:10", "label": "LAKSHMAN MAKANDURA", "kind": "cms_owner_or_controller", "evidence": "CONTRACTED MANAGING EMPLOYEE" }, { "id": "cms-owner:l-a-downtown-medical-center-llc:11", "label": "L A DOWNTOWN MEDICAL CENTER LLC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:l-a-downtown-medical-center-llc:12", "label": "L A DOWNTOWN MEDICAL CENTER LLC", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:vicki-rollins:13", "label": "VICKI ROLLINS", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:vicki-rollins:14", "label": "VICKI ROLLINS", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:vicki-rollins:15", "label": "VICKI ROLLINS", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" } ], "edges": [ { "id": "organization:l-a-downtown-medical-center-llc->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "organization:l-a-downtown-medical-center-llc", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "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:ann-francisco:0->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:ann-francisco:0", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · 50% reported ownership · associated 09/06/2022" }, { "id": "cms-owner:ann-francisco:1->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:ann-francisco:1", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · 50% reported ownership · associated 09/06/2022" }, { "id": "cms-owner:christopher-siregar:2->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:christopher-siregar:2", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · 50% reported ownership · associated 03/01/2025" }, { "id": "cms-owner:christopher-siregar:3->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:christopher-siregar:3", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · 50% reported ownership · associated 03/01/2025" }, { "id": "cms-owner:william-nelson:4->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:william-nelson:4", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% reported ownership · associated 03/04/2019" }, { "id": "cms-owner:william-nelson:5->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:william-nelson:5", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "holds a security interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER SECURITY INTEREST · 50% reported ownership · associated 03/01/2019" }, { "id": "cms-owner:william-nelson:6->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:william-nelson:6", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · 50% reported ownership · associated 03/01/2019" }, { "id": "cms-owner:william-nelson:7->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:william-nelson:7", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 50% reported ownership · associated 03/01/2019" }, { "id": "cms-owner:william-nelson:8->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:william-nelson:8", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · 50% reported ownership · associated 03/01/2019" }, { "id": "cms-owner:william-nelson:9->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:william-nelson:9", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OTHER · 50% reported ownership · associated 03/01/2019" }, { "id": "cms-owner:lakshman-makandura:10->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:lakshman-makandura:10", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CONTRACTED MANAGING EMPLOYEE · 0% reported ownership · associated 01/01/2023" }, { "id": "cms-owner:l-a-downtown-medical-center-llc:11->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:l-a-downtown-medical-center-llc:11", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 03/04/2019" }, { "id": "cms-owner:l-a-downtown-medical-center-llc:12->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:l-a-downtown-medical-center-llc:12", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 03/04/2019" }, { "id": "cms-owner:vicki-rollins:13->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:vicki-rollins:13", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% reported ownership · associated 03/01/2019" }, { "id": "cms-owner:vicki-rollins:14->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:vicki-rollins:14", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · 50% reported ownership · associated 03/01/2019" }, { "id": "cms-owner:vicki-rollins:15->facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "from": "cms-owner:vicki-rollins:15", "to": "facility:050763-loc-ca-los-angeles-l-a-downtown-medical-center", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 50% reported ownership · associated 03/01/2019" } ], "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": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 87500042, "latestValue": 86144458, "absoluteChange": -1355584, "percentChange": -1.5492381135085627, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 95114856, "latestValue": 91909471, "absoluteChange": -3205385, "percentChange": -3.3700150899665977, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 7516858, "latestValue": -2696502, "absoluteChange": -10213360, "percentChange": -135.872727674249, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 60086925, "latestValue": 78452168, "absoluteChange": 18365243, "percentChange": 30.564458074697615, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 51091154, "latestValue": 65607927, "absoluteChange": 14516773, "percentChange": 28.413476430773123, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 1550779, "latestValue": 3289048, "absoluteChange": 1738269, "percentChange": 112.09005280571893, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 1504.59, "latestValue": 361.04, "absoluteChange": -1143.55, "percentChange": -76.00409413860254, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 234, "latestValue": 315, "absoluteChange": 81, "percentChange": 34.61538461538461, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 69770, "latestValue": 56858, "absoluteChange": -12912, "percentChange": -18.506521427547657, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 7285, "latestValue": 6474, "absoluteChange": -811, "percentChange": -11.132463967055592, "unit": "discharges" } ] }