{ "schemaVersion": 4, "entityId": "120001", "canonicalName": "THE QUEEN'S MEDICAL CENTER - HALE PULAMA MAU", "status": "signal", "statusLabel": "Documented investment signal", "summary": "THE QUEEN'S MEDICAL CENTER - HALE PULAMA MAU has a completed Hawaii state-template dossier baseline with official identity, CMS enrollment/owner context when matched, CMS Care Compare point-in-time context when matched, HCRIS financial/utilization context when matched, and explicit limitations for missing fields. Unsupported ownership, compensation, labor, quality-trend, or causation claims are not inferred.", "lastReviewed": "2026-07-01", "review": { "reviewer": "Five-state state-template completion batch", "evidence_grade": "completed state-template official-source baseline", "confidence": "medium", "source_count": 8, "ownership_source_count": 24, "identity_match_method": "CMS enrollment match used where available", "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.", "batch_id": "state-template-complete-2026-07-02-001" }, "identifiers": { "ccn": "120001", "npi": "1184612764", "historicalCcns": [], "aliases": [ { "alias": "THE QUEENS MEDICAL CENTER", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "THE QUEENS MEDICAL CENTER", "alias_type": "cms_care_compare_name", "source_id": "source-cms-care-compare" } ] }, "ownershipHistory": [ { "relationship_id": "rel-queens-120001", "from_entity_id": "Queens", "to_entity_id": "120001", "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": "Queens 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." }, { "relationship_id": "rel-cms-owner-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "cms_owner_context", "effective_date": "01/01/2025", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-cms-owner-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "cms_owner_context", "effective_date": "01/01/2025", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "cms_owner_context", "effective_date": "01/01/2025", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "cms_owner_context", "effective_date": "01/01/2025", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "cms_owner_context", "effective_date": "01/01/2025", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-120001", "from_entity_id": "queens", "to_entity_id": "120001", "relationship_type": "cms_owner_context", "effective_date": "01/01/2025", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" } ], "acquisitionEvents": [ { "date": "10/08/2024", "title": "CMS before/after ownership event", "detail": "SUTTER HEALTH PACIFIC -> THE QUEENS MEDICAL CENTER.", "sourceIds": [ "source-cms-hospital-chow" ] } ], "financialAndUtilizationSeries": [ { "metric_id": "120001-net_patient_revenue-06-30-2024", "entity_id": "120001", "metric_name": "net_patient_revenue", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "1531739613", "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": "120001-net_patient_revenue-06-30-2023", "entity_id": "120001", "metric_name": "net_patient_revenue", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "1424914554", "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": "120001-net_patient_revenue-06-30-2022", "entity_id": "120001", "metric_name": "net_patient_revenue", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "1383715827", "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": "120001-net_patient_revenue-06-30-2021", "entity_id": "120001", "metric_name": "net_patient_revenue", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "1220251782", "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": "120001-operating_expense-06-30-2024", "entity_id": "120001", "metric_name": "operating_expense", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "1520914620", "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": "120001-operating_expense-06-30-2023", "entity_id": "120001", "metric_name": "operating_expense", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "1411120455", "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": "120001-operating_expense-06-30-2022", "entity_id": "120001", "metric_name": "operating_expense", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "1527319679", "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": "120001-operating_expense-06-30-2021", "entity_id": "120001", "metric_name": "operating_expense", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "1340142927", "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": "120001-net_income-06-30-2024", "entity_id": "120001", "metric_name": "net_income", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "249201002", "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": "120001-net_income-06-30-2023", "entity_id": "120001", "metric_name": "net_income", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "179301590", "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": "120001-net_income-06-30-2022", "entity_id": "120001", "metric_name": "net_income", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "-180899676", "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": "120001-net_income-06-30-2021", "entity_id": "120001", "metric_name": "net_income", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "279420895", "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": "120001-total_assets-06-30-2024", "entity_id": "120001", "metric_name": "total_assets", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "3307679246", "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": "120001-total_assets-06-30-2023", "entity_id": "120001", "metric_name": "total_assets", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "2739284738", "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": "120001-total_assets-06-30-2022", "entity_id": "120001", "metric_name": "total_assets", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "2486175456", "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": "120001-total_assets-06-30-2021", "entity_id": "120001", "metric_name": "total_assets", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "2533038359", "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": "120001-total_liabilities-06-30-2024", "entity_id": "120001", "metric_name": "total_liabilities", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "1496847744", "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": "120001-total_liabilities-06-30-2023", "entity_id": "120001", "metric_name": "total_liabilities", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "1235547676", "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": "120001-total_liabilities-06-30-2022", "entity_id": "120001", "metric_name": "total_liabilities", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "1201603695", "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": "120001-total_liabilities-06-30-2021", "entity_id": "120001", "metric_name": "total_liabilities", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "1129744871", "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": "120001-contract_labor_direct_patient_care-06-30-2024", "entity_id": "120001", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "9259721", "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": "120001-contract_labor_direct_patient_care-06-30-2019", "entity_id": "120001", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2018", "period_end": "06/30/2019", "value": "11333746", "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": "120001-contract_labor_direct_patient_care-06-30-2018", "entity_id": "120001", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2017", "period_end": "06/30/2018", "value": "10402067", "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": "120001-contract_labor_direct_patient_care-06-30-2017", "entity_id": "120001", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2016", "period_end": "06/30/2017", "value": "14138750", "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": "120001-fte_employees-06-30-2024", "entity_id": "120001", "metric_name": "fte_employees", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "4836.26", "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": "120001-fte_employees-06-30-2023", "entity_id": "120001", "metric_name": "fte_employees", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "4562.91", "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": "120001-fte_employees-06-30-2022", "entity_id": "120001", "metric_name": "fte_employees", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "4990.32", "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": "120001-fte_employees-06-30-2021", "entity_id": "120001", "metric_name": "fte_employees", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "4599.77", "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": "120001-beds-06-30-2024", "entity_id": "120001", "metric_name": "beds", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "674", "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": "120001-beds-06-30-2023", "entity_id": "120001", "metric_name": "beds", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "674", "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": "120001-beds-06-30-2022", "entity_id": "120001", "metric_name": "beds", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "674", "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": "120001-beds-06-30-2021", "entity_id": "120001", "metric_name": "beds", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "674", "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": "120001-patient_days-06-30-2024", "entity_id": "120001", "metric_name": "patient_days", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "225174", "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": "120001-patient_days-06-30-2023", "entity_id": "120001", "metric_name": "patient_days", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "219023", "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": "120001-patient_days-06-30-2022", "entity_id": "120001", "metric_name": "patient_days", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "199151", "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": "120001-patient_days-06-30-2021", "entity_id": "120001", "metric_name": "patient_days", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "183505", "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": "120001-discharges-06-30-2024", "entity_id": "120001", "metric_name": "discharges", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "33202", "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": "120001-discharges-06-30-2023", "entity_id": "120001", "metric_name": "discharges", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "31309", "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": "120001-discharges-06-30-2022", "entity_id": "120001", "metric_name": "discharges", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "28499", "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": "120001-discharges-06-30-2021", "entity_id": "120001", "metric_name": "discharges", "period_start": "07/01/2020", "period_end": "06/30/2021", "value": "27422", "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": "TIM PANKS", "role": "CORPORATE OFFICER", "association_date": "01/01/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DARLENA CHADWICK", "role": "CORPORATE OFFICER", "association_date": "01/24/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KRISTI LEFFORGE", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KRISTI LEFFORGE", "role": "OTHER", "association_date": "01/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KAMANI KUALAAU", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2018", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WHITNEY LIMM", "role": "CORPORATE OFFICER", "association_date": "01/01/2015", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "NADINE SALLE", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2018", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "COLLEEN KOTANI", "role": "W-2 MANAGING EMPLOYEE", "association_date": "01/01/2025", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DANIEL CHUN", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL BRODERICK", "role": "CORPORATE DIRECTOR", "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": "MARY BOLAND", "role": "CORPORATE DIRECTOR", "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": "JASON CHANG", "role": "CORPORATE OFFICER", "association_date": "07/12/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN NITAO", "role": "CORPORATE OFFICER", "association_date": "01/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MEREDITH CHING", "role": "CORPORATE DIRECTOR", "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": "JAN SULLIVAN", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROBERT DEAN", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KAZUMA NAKAGAWA", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ALEXANDRA WROE", "role": "CORPORATE OFFICER", "association_date": "01/01/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CLINTON YEE", "role": "CORPORATE OFFICER", "association_date": "01/01/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "PETER HALFORD", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SCOTT SEU", "role": "CORPORATE DIRECTOR", "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": "THOMAS PRISELAC", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2020", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KYLE CHOCK", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "PATRICK CHING", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "THE QUEEN'S HEALTH SYSTEMS", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "05/17/1985", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LYNN BABINGTON", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "THOMAS GALLACHER", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "AGNES NGO", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CAMERON NEKOTA", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "directConnections": [ "Reported parent system or portfolio company: Queens.", "Operator/owner context: Queens.", "CMS Care Compare ownership category: Voluntary non-profit - Private." ], "actions": [], "contradictions": [], "limitations": [ "The investment signal does not establish completed private-equity ownership or a pending sale.", "This five-state template completion pass used official cached CMS/HIFLD/PESP/HCRIS sources and records missing items; it does not claim the entire internet was exhausted." ], "unavailableFields": [ "Precise acquisition date", "source-backed local CEO/current leader", "official CEO image URL", "facility-level CEO compensation amount" ], "sources": [ { "source_id": "source-hifld-hospitals", "title": "Hospitals RAPT", "publisher": "Homeland Infrastructure Foundation-Level Data", "publication_date": "current public layer", "retrieved_at": "2026-07-02", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "reliability_tier": "government", "research_note": "Facility location and identity source; does not establish ownership or control.", "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": "2026-07-02", "url": "https://pestakeholder.org/private-equity-hospital-tracker/", "reliability_tier": "research", "research_note": "Discovery source for PE, contract, and transaction-signal follow-up; not enough by itself for direct control claims.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-enrollments", "title": "Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-all-owners", "title": "Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows.", "source_type": "public_record" }, { "source_id": "source-cms-hcris", "title": "Hospital Provider Cost Reports", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2015-2024 cached official files", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "reliability_tier": "government", "research_note": "Financial, staffing, and utilization values; descriptive only and not causal evidence.", "source_type": "public_record" }, { "source_id": "source-cms-care-compare", "title": "Hospital General Information", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "reliability_tier": "government", "research_note": "Facility type, ownership category, emergency services, and overall rating context.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-chow", "title": "Hospital Change of Ownership", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership", "reliability_tier": "government", "research_note": "Used for before/after ownership and enrollment transfer events when a matching CHOW row exists.", "source_type": "public_record" }, { "source_id": "source-pehw-state-template-completion-2026-07-02", "title": "PE Healthcare Watch five-state template completion batch", "publisher": "PE Healthcare Watch", "publication_date": "2026-07-02", "retrieved_at": "2026-07-02", "url": "/data/releases/release-2026-07-02-state-template-complete-001.json", "reliability_tier": "research", "research_note": "Internal public release marker for the five-state template completion. It documents scope and limitations; it is not independent ownership evidence.", "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:120001", "label": "THE QUEEN'S MEDICAL CENTER - HALE PULAMA MAU", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:queens", "label": "Queens", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:tim-panks:0", "label": "TIM PANKS", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:darlena-chadwick:1", "label": "DARLENA CHADWICK", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:kristi-lefforge:2", "label": "KRISTI LEFFORGE", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:kristi-lefforge:3", "label": "KRISTI LEFFORGE", "kind": "cms_owner_or_controller", "evidence": "OTHER" }, { "id": "cms-owner:kamani-kualaau:4", "label": "KAMANI KUALAAU", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:whitney-limm:5", "label": "WHITNEY LIMM", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:nadine-salle:6", "label": "NADINE SALLE", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:colleen-kotani:7", "label": "COLLEEN KOTANI", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:daniel-chun:8", "label": "DANIEL CHUN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:michael-broderick:9", "label": "MICHAEL BRODERICK", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:mary-boland:10", "label": "MARY BOLAND", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:jason-chang:11", "label": "JASON CHANG", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:john-nitao:12", "label": "JOHN NITAO", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:meredith-ching:13", "label": "MEREDITH CHING", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:jan-sullivan:14", "label": "JAN SULLIVAN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:robert-dean:15", "label": "ROBERT DEAN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" } ], "edges": [ { "id": "organization:queens->facility:120001", "from": "organization:queens", "to": "facility:120001", "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:tim-panks:0->facility:120001", "from": "cms-owner:tim-panks:0", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 01/01/2025" }, { "id": "cms-owner:darlena-chadwick:1->facility:120001", "from": "cms-owner:darlena-chadwick:1", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 01/24/2022" }, { "id": "cms-owner:kristi-lefforge:2->facility:120001", "from": "cms-owner:kristi-lefforge:2", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 01/01/2019" }, { "id": "cms-owner:kristi-lefforge:3->facility:120001", "from": "cms-owner:kristi-lefforge:3", "to": "facility:120001", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OTHER · associated 01/01/2019" }, { "id": "cms-owner:kamani-kualaau:4->facility:120001", "from": "cms-owner:kamani-kualaau:4", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 01/01/2018" }, { "id": "cms-owner:whitney-limm:5->facility:120001", "from": "cms-owner:whitney-limm:5", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 01/01/2015" }, { "id": "cms-owner:nadine-salle:6->facility:120001", "from": "cms-owner:nadine-salle:6", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 01/01/2018" }, { "id": "cms-owner:colleen-kotani:7->facility:120001", "from": "cms-owner:colleen-kotani:7", "to": "facility:120001", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · 100% reported ownership · associated 01/01/2025" }, { "id": "cms-owner:daniel-chun:8->facility:120001", "from": "cms-owner:daniel-chun:8", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 01/01/2025" }, { "id": "cms-owner:michael-broderick:9->facility:120001", "from": "cms-owner:michael-broderick:9", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2023" }, { "id": "cms-owner:mary-boland:10->facility:120001", "from": "cms-owner:mary-boland:10", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2023" }, { "id": "cms-owner:jason-chang:11->facility:120001", "from": "cms-owner:jason-chang:11", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 07/12/2024" }, { "id": "cms-owner:john-nitao:12->facility:120001", "from": "cms-owner:john-nitao:12", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 01/01/2021" }, { "id": "cms-owner:meredith-ching:13->facility:120001", "from": "cms-owner:meredith-ching:13", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2023" }, { "id": "cms-owner:jan-sullivan:14->facility:120001", "from": "cms-owner:jan-sullivan:14", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 01/01/2025" }, { "id": "cms-owner:robert-dean:15->facility:120001", "from": "cms-owner:robert-dean:15", "to": "facility:120001", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 01/01/2023" } ], "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": "06/30/2021", "latestPeriod": "06/30/2024", "earliestValue": 1220251782, "latestValue": 1531739613, "absoluteChange": 311487831, "percentChange": 25.526521296241793, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "06/30/2021", "latestPeriod": "06/30/2024", "earliestValue": 1340142927, "latestValue": 1520914620, "absoluteChange": 180771693, "percentChange": 13.488986089317322, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "06/30/2021", "latestPeriod": "06/30/2024", "earliestValue": 279420895, "latestValue": 249201002, "absoluteChange": -30219893, "percentChange": -10.815187246465587, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "06/30/2021", "latestPeriod": "06/30/2024", "earliestValue": 2533038359, "latestValue": 3307679246, "absoluteChange": 774640887, "percentChange": 30.58149057426098, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "06/30/2021", "latestPeriod": "06/30/2024", "earliestValue": 1129744871, "latestValue": 1496847744, "absoluteChange": 367102873, "percentChange": 32.49431640924883, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "06/30/2017", "latestPeriod": "06/30/2024", "earliestValue": 14138750, "latestValue": 9259721, "absoluteChange": -4879029, "percentChange": -34.508206170983996, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "06/30/2021", "latestPeriod": "06/30/2024", "earliestValue": 4599.77, "latestValue": 4836.26, "absoluteChange": 236.48999999999978, "percentChange": 5.14134402372292, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "06/30/2021", "latestPeriod": "06/30/2024", "earliestValue": 674, "latestValue": 674, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "06/30/2021", "latestPeriod": "06/30/2024", "earliestValue": 183505, "latestValue": 225174, "absoluteChange": 41669, "percentChange": 22.707283180294816, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "06/30/2021", "latestPeriod": "06/30/2024", "earliestValue": 27422, "latestValue": 33202, "absoluteChange": 5780, "percentChange": 21.077966596163662, "unit": "discharges" } ], "firstGlance": { "taxOwnershipType": "Nonprofit", "operator": "Queens", "directPeOwnership": "Not documented as direct PE ownership in this state-template pass", "peRelationship": "Watchlist signal", "careLevel": "Acute Care Hospitals", "currentCeo": "Needs source-backed local leader research", "bottomLine": "THE QUEEN'S MEDICAL CENTER is shown with official-source baseline context for Hawaii. Missing fields remain visible instead of being inferred." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "estimateMethod": "Not estimated in this state-template completion pass", "catchmentDescription": "HONOLULU, HONOLULU, Hawaii. Service role should be refined in manual follow-up.", "traumaCareLevel": "Acute Care Hospitals", "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed." }, "qualityAndLaborContext": { "sourceId": "source-cms-care-compare", "cmsOverallRating": "3", "emergencyServices": "Yes", "hospitalType": "Acute Care Hospitals", "careCompareOwnership": "Voluntary non-profit - Private", "note": "CMS Care Compare point-in-time identity/rating context captured for the state template. This is not a quality trend or ownership-causation claim.", "noCausationClaim": true }, "nextReview": { "batchId": "next-50-2026-07-01-002", "reviewedAt": "2026-07-01", "sourceFamilyRows": 29, "statusCounts": { "blocked": 5, "found": 10, "searched_not_found": 12, "not_applicable": 2 }, "approvalStatus": "approved_partial_retain_existing_public_labels_only", "retainedExistingPublicLabelOnly": true, "publicationPolicy": "Completing the source-family checklist does not automatically approve a stronger ownership, control, contract, independence, sibling, or faith-affiliation claim." } }