{ "schemaVersion": 4, "entityId": "120011", "canonicalName": "KAISER FOUNDATION HOSPITAL", "status": "corporate_chain", "statusLabel": "Corporate or major-system control baseline", "summary": "KAISER FOUNDATION HOSPITAL 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": 13, "ownership_source_count": 13, "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": "120011", "npi": "1396813861", "historicalCcns": [], "aliases": [ { "alias": "KAISER FOUNDATION HOSPITALS", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "KAISER FOUNDATION HOSPITAL", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" }, { "alias": "KAISER FOUNDATION HOSPITAL", "alias_type": "cms_care_compare_name", "source_id": "source-cms-care-compare" } ] }, "ownershipHistory": [ { "relationship_id": "next-review-120011", "from_entity_id": "next-review:kaiser-permanente", "to_entity_id": "120011", "relationship_type": "operates", "effective_date": "", "end_date": "", "announcement_date": "", "status": "baseline", "confidence": "medium", "source_ids": "source-cms-enrollments-2026-05|source-cms-all-owners-2026-05", "plain_english_summary": "The existing public corporate_chain classification is retained pending any separately approved change.", "review_notes": "This relationship records the current public context and does not independently promote a stronger ownership claim." }, { "relationship_id": "rel-cms-owner-120011", "from_entity_id": "kaiserpermanente", "to_entity_id": "120011", "relationship_type": "cms_owner_context", "effective_date": "05/01/2017", "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-120011", "from_entity_id": "kaiserpermanente", "to_entity_id": "120011", "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-120011", "from_entity_id": "kaiserpermanente", "to_entity_id": "120011", "relationship_type": "cms_owner_context", "effective_date": "05/01/2017", "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-120011", "from_entity_id": "kaiserpermanente", "to_entity_id": "120011", "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-120011", "from_entity_id": "kaiserpermanente", "to_entity_id": "120011", "relationship_type": "cms_owner_context", "effective_date": "05/01/2017", "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": [], "financialAndUtilizationSeries": [ { "metric_id": "120011-operating_expense-12-31-2023", "entity_id": "120011", "metric_name": "operating_expense", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "425137424", "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": "120011-operating_expense-12-31-2022", "entity_id": "120011", "metric_name": "operating_expense", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "429430754", "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": "120011-operating_expense-12-31-2021", "entity_id": "120011", "metric_name": "operating_expense", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "423924093", "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": "120011-operating_expense-12-31-2019", "entity_id": "120011", "metric_name": "operating_expense", "period_start": "01/01/2019", "period_end": "12/31/2019", "value": "343683091", "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": "120011-net_income-12-31-2023", "entity_id": "120011", "metric_name": "net_income", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "47595880", "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": "120011-net_income-12-31-2022", "entity_id": "120011", "metric_name": "net_income", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "-47496095", "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": "120011-net_income-12-31-2021", "entity_id": "120011", "metric_name": "net_income", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "-77322249", "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": "120011-net_income-12-31-2020", "entity_id": "120011", "metric_name": "net_income", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "1", "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": "120011-contract_labor_direct_patient_care-12-31-2023", "entity_id": "120011", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "8805080", "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": "120011-contract_labor_direct_patient_care-12-31-2022", "entity_id": "120011", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "18500117", "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": "120011-contract_labor_direct_patient_care-12-31-2021", "entity_id": "120011", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "2551562", "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": "120011-contract_labor_direct_patient_care-12-31-2020", "entity_id": "120011", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "4649094", "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": "120011-fte_employees-12-31-2023", "entity_id": "120011", "metric_name": "fte_employees", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "1362.03", "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": "120011-fte_employees-12-31-2022", "entity_id": "120011", "metric_name": "fte_employees", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "1355.99", "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": "120011-fte_employees-12-31-2021", "entity_id": "120011", "metric_name": "fte_employees", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "1367.91", "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": "120011-fte_employees-12-31-2020", "entity_id": "120011", "metric_name": "fte_employees", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "1356.05", "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": "120011-beds-12-31-2023", "entity_id": "120011", "metric_name": "beds", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "276", "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": "120011-beds-12-31-2022", "entity_id": "120011", "metric_name": "beds", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "285", "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": "120011-beds-12-31-2021", "entity_id": "120011", "metric_name": "beds", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "285", "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": "120011-beds-12-31-2020", "entity_id": "120011", "metric_name": "beds", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "295", "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": "120011-patient_days-12-31-2023", "entity_id": "120011", "metric_name": "patient_days", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "53494", "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": "120011-patient_days-12-31-2022", "entity_id": "120011", "metric_name": "patient_days", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "54355", "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": "120011-patient_days-12-31-2021", "entity_id": "120011", "metric_name": "patient_days", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "54546", "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": "120011-patient_days-12-31-2020", "entity_id": "120011", "metric_name": "patient_days", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "54777", "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": "120011-discharges-12-31-2023", "entity_id": "120011", "metric_name": "discharges", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "10189", "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": "120011-discharges-12-31-2022", "entity_id": "120011", "metric_name": "discharges", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "9958", "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": "120011-discharges-12-31-2021", "entity_id": "120011", "metric_name": "discharges", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "11276", "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": "120011-discharges-12-31-2020", "entity_id": "120011", "metric_name": "discharges", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "9876", "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": "120011-net_patient_revenue-12-31-2023", "entity_id": "120011", "metric_name": "net_patient_revenue", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "462803769", "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": "120011-net_patient_revenue-12-31-2022", "entity_id": "120011", "metric_name": "net_patient_revenue", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "377272754", "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": "120011-net_patient_revenue-12-31-2021", "entity_id": "120011", "metric_name": "net_patient_revenue", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "341862673", "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": "120011-total_assets-12-31-2023", "entity_id": "120011", "metric_name": "total_assets", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "653334605", "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": "120011-total_liabilities-12-31-2023", "entity_id": "120011", "metric_name": "total_liabilities", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "339868828", "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" } ], "cmsOwnerRecords": [ { "organization": "DAVID BARGER", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARGARET PORFIDO", "role": "CORPORATE DIRECTOR", "association_date": "11/01/2011", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JENNY MING", "role": "CORPORATE DIRECTOR", "association_date": "07/06/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "RICHARD SHANNON", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2014", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "REGINA BENJAMIN", "role": "CORPORATE DIRECTOR", "association_date": "06/01/2015", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JUDITH JOHANSEN", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2006", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DAVID HOFFMEISTER", "role": "CORPORATE DIRECTOR", "association_date": "11/01/2014", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KAISER FOUNDATION HOSPITALS", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "07/01/1966", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ARNOLD WASHINGTON", "role": "CORPORATE DIRECTOR", "association_date": "01/04/2016", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "INES GAETA", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "04/04/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JULIE MILLER-PHIPPS", "role": "CORPORATE OFFICER", "association_date": "08/15/2016", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAMES ADAMS", "role": "CORPORATE OFFICER", "association_date": "08/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAMES ADAMS", "role": "W-2 MANAGING EMPLOYEE", "association_date": "08/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAMES ADAMS", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "08/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JEFFREY EPSTEIN", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2013", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "RAMON BAEZ", "role": "CORPORATE DIRECTOR", "association_date": "06/04/2016", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "GREGORY ADAMS", "role": "CORPORATE OFFICER", "association_date": "11/11/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "GREGORY ADAMS", "role": "CORPORATE DIRECTOR", "association_date": "11/11/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MATTHEW RYAN", "role": "CORPORATE DIRECTOR", "association_date": "01/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LESLIE HEISZ", "role": "CORPORATE DIRECTOR", "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 } ], "directConnections": [ "Reported parent or operator context: Kaiser Permanente.", "System affiliation context: Kaiser Permanente.", "Operator/owner context: Kaiser Permanente.", "CMS Care Compare ownership category: Voluntary non-profit - Private." ], "actions": [], "contradictions": [], "limitations": [ "5 source-family rows were blocked or manual.", "14 source-family searches returned no matching record.", "Searched-not-found and blocked results do not prove independence or absence of PE, corporate, contract, or faith-affiliation exposure.", "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": [ "source-backed local CEO/current leader", "official CEO image URL", "facility-level CEO compensation amount" ], "sources": [ { "source_id": "source-cms-enrollments-2026-05", "title": "Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2026-05-01", "retrieved_at": "2026-07-01", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "archive_url": "", "reliability_tier": "government", "source_type": "dataset", "research_note": "Supports CMS enrollment identity, legal/DBA names, NPI, CCN, location, and proprietary/nonprofit field for matched rows. Does not prove ultimate parent, PE sponsor, management contract, or final map label." }, { "source_id": "source-cms-all-owners-2026-05", "title": "Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2026-05-01", "retrieved_at": "2026-07-01", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "archive_url": "", "reliability_tier": "government", "source_type": "dataset", "research_note": "Supports reported owner/control rows linked to matched CMS enrollment IDs. Owner rows require entity reconciliation and do not by themselves prove current PE control or contract exposure." }, { "source_id": "source-cms-hcris-2023", "title": "Web Pass: Financial / Quality / Community Context", "publisher": "CMS/HHS public datasets plus targeted web-pass context", "publication_date": "", "retrieved_at": "2026-07-01", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "archive_url": "", "reliability_tier": "primary_or_public", "source_type": "official_dataset_context", "research_note": "Supports baseline financial/quality/context search-family completion. Does not prove PE caused any financial, quality, labor, or service-line outcome." }, { "source_id": "source-cms-care-compare-2026", "title": "Web Pass: Financial / Quality / Community Context", "publisher": "CMS/HHS public datasets plus targeted web-pass context", "publication_date": "", "retrieved_at": "2026-07-01", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "archive_url": "", "reliability_tier": "primary_or_public", "source_type": "official_dataset_context", "research_note": "Supports baseline financial/quality/context search-family completion. Does not prove PE caused any financial, quality, labor, or service-line outcome." }, { "source_id": "source-nppes-api-2026-06-28", "title": "NPPES NPI Registry API", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current", "retrieved_at": "2026-07-01", "url": "https://npiregistry.cms.hhs.gov/api/", "archive_url": "", "reliability_tier": "primary_or_public", "source_type": "api", "research_note": "Supports NPI registry identity and organization-name/location context for the matched NPI. NPI billing identity is not ownership, control, PE sponsorship, or management-contract evidence." }, { "source_id": "source-hhs-provider-relief-fund-2026-06-28", "title": "Web Pass: Financial / Quality / Community Context", "publisher": "CMS/HHS public datasets plus targeted web-pass context", "publication_date": "", "retrieved_at": "2026-07-01", "url": "https://data.cdc.gov/Administrative/HHS-Provider-Relief-Fund/kh8y-3es6", "archive_url": "", "reliability_tier": "primary_or_public", "source_type": "official_dataset_context", "research_note": "Supports baseline financial/quality/context search-family completion. Does not prove PE caused any financial, quality, labor, or service-line outcome." }, { "source_id": "source-pesp-tracker-2026-04-03", "title": "Web Pass: Ownership / Transaction Terms", "publisher": "PESP tracker plus captured primary/operator/sponsor sources", "publication_date": "", "retrieved_at": "2026-07-01", "url": "https://pestakeholder.org/private-equity-hospital-tracker/", "archive_url": "", "reliability_tier": "primary_or_public", "source_type": "web_search_and_source_catalog", "research_note": "Supports why the hospital remains in an ownership-warning research queue and identifies source-backed operator/sponsor leads. Does not resolve final ownership, independence, PE ownership, contract exposure, or color without full adjudication." }, { "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-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-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-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-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": "NEXT audit context keeps the facility separate from operator, owner, affiliation, and unresolved-review nodes.", "confidence": "medium", "nodes": [ { "id": "next-review:kaiser-permanente", "label": "Kaiser Permanente", "kind": "operator_or_control_context", "evidence": "source-cms-enrollments-2026-05|source-cms-all-owners-2026-05" }, { "id": "facility:120011", "label": "KAISER FOUNDATION HOSPITAL", "kind": "hospital", "evidence": "public facility record" } ], "edges": [ { "id": "next-review:kaiser-permanente->facility:120011", "from": "next-review:kaiser-permanente", "to": "facility:120011", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-cms-enrollments-2026-05", "source-cms-all-owners-2026-05" ], "note": "This edge records the retained public context or unresolved review state; it is not an automatic label promotion." } ], "caveats": [ "The NEXT checklist is a reproducible research audit, not automatic approval of a stronger public classification." ] }, "nextReview": { "batchId": "next-50-2026-07-01-002", "reviewedAt": "2026-07-01", "sourceFamilyRows": 29, "statusCounts": { "blocked": 5, "found": 8, "searched_not_found": 14, "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." }, "descriptiveTrends": [ { "metric": "net_patient_revenue", "earliestPeriod": "12/31/2021", "latestPeriod": "12/31/2023", "earliestValue": 341862673, "latestValue": 462803769, "absoluteChange": 120941096, "percentChange": 35.37709892065344, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "12/31/2019", "latestPeriod": "12/31/2023", "earliestValue": 343683091, "latestValue": 425137424, "absoluteChange": 81454333, "percentChange": 23.70041911663324, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 1, "latestValue": 47595880, "absoluteChange": 47595879, "percentChange": 4759587900, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 4649094, "latestValue": 8805080, "absoluteChange": 4155986, "percentChange": 89.39346031721449, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 1356.05, "latestValue": 1362.03, "absoluteChange": 5.980000000000018, "percentChange": 0.4409866892813701, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 295, "latestValue": 276, "absoluteChange": -19, "percentChange": -6.440677966101695, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 54777, "latestValue": 53494, "absoluteChange": -1283, "percentChange": -2.342223926100371, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 9876, "latestValue": 10189, "absoluteChange": 313, "percentChange": 3.16929931146213, "unit": "discharges" } ], "firstGlance": { "taxOwnershipType": "Nonprofit", "operator": "Kaiser Permanente", "directPeOwnership": "Not documented as direct PE ownership in this state-template pass", "peRelationship": "No documented PE link in current baseline sources", "careLevel": "Acute Care Hospitals", "currentCeo": "Needs source-backed local leader research", "bottomLine": "KAISER FOUNDATION HOSPITAL 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": "4", "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 } }