{ "schemaVersion": 4, "entityId": "121308", "canonicalName": "KULA HOSPITAL", "status": "signal", "statusLabel": "Documented investment signal", "summary": "KULA 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": "2026-07-02", "review": { "reviewer": "Five-state state-template completion batch", "evidence_grade": "completed state-template official-source baseline", "confidence": "medium", "source_count": 8, "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": "121308", "npi": "1861854226", "historicalCcns": [], "aliases": [ { "alias": "MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "KULA HOSPITAL", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" }, { "alias": "KULA HOSPITAL", "alias_type": "cms_care_compare_name", "source_id": "source-cms-care-compare" } ] }, "ownershipHistory": [ { "relationship_id": "rel-mauihealth-121308", "from_entity_id": "Mauihealth", "to_entity_id": "121308", "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": "Mauihealth 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-121308", "from_entity_id": "mauihealth", "to_entity_id": "121308", "relationship_type": "cms_owner_context", "effective_date": "07/01/2017", "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-121308", "from_entity_id": "mauihealth", "to_entity_id": "121308", "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-121308", "from_entity_id": "mauihealth", "to_entity_id": "121308", "relationship_type": "cms_owner_context", "effective_date": "07/01/2017", "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-121308", "from_entity_id": "mauihealth", "to_entity_id": "121308", "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-121308", "from_entity_id": "mauihealth", "to_entity_id": "121308", "relationship_type": "cms_owner_context", "effective_date": "07/01/2017", "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": [ { "date": "07/01/2017", "title": "CMS before/after ownership event", "detail": "KULA HOSPITAL -> MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC.", "sourceIds": [ "source-cms-hospital-chow" ] } ], "financialAndUtilizationSeries": [ { "metric_id": "121308-net_patient_revenue-12-31-2023", "entity_id": "121308", "metric_name": "net_patient_revenue", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "30032748", "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": "121308-net_patient_revenue-12-31-2022", "entity_id": "121308", "metric_name": "net_patient_revenue", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "23317211", "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": "121308-net_patient_revenue-12-31-2021", "entity_id": "121308", "metric_name": "net_patient_revenue", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "24467200", "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": "121308-net_patient_revenue-12-31-2020", "entity_id": "121308", "metric_name": "net_patient_revenue", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "21717282", "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": "121308-operating_expense-12-31-2023", "entity_id": "121308", "metric_name": "operating_expense", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "39349553", "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": "121308-operating_expense-12-31-2022", "entity_id": "121308", "metric_name": "operating_expense", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "39919227", "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": "121308-operating_expense-12-31-2021", "entity_id": "121308", "metric_name": "operating_expense", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "26980605", "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": "121308-operating_expense-12-31-2020", "entity_id": "121308", "metric_name": "operating_expense", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "25149474", "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": "121308-net_income-12-31-2023", "entity_id": "121308", "metric_name": "net_income", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "-8060700", "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": "121308-net_income-12-31-2022", "entity_id": "121308", "metric_name": "net_income", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "-15865765", "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": "121308-net_income-12-31-2021", "entity_id": "121308", "metric_name": "net_income", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "-1501897", "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": "121308-net_income-12-31-2020", "entity_id": "121308", "metric_name": "net_income", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "3590751", "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": "121308-total_assets-12-31-2023", "entity_id": "121308", "metric_name": "total_assets", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "268344952", "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": "121308-total_assets-12-31-2022", "entity_id": "121308", "metric_name": "total_assets", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "238816821", "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": "121308-total_assets-12-31-2021", "entity_id": "121308", "metric_name": "total_assets", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "183433521", "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": "121308-total_assets-12-31-2020", "entity_id": "121308", "metric_name": "total_assets", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "152761643", "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": "121308-total_liabilities-12-31-2023", "entity_id": "121308", "metric_name": "total_liabilities", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "147474628", "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": "121308-total_liabilities-12-31-2022", "entity_id": "121308", "metric_name": "total_liabilities", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "120576420", "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": "121308-total_liabilities-12-31-2021", "entity_id": "121308", "metric_name": "total_liabilities", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "169885854", "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": "121308-total_liabilities-12-31-2020", "entity_id": "121308", "metric_name": "total_liabilities", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "124037235", "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": "121308-fte_employees-12-31-2023", "entity_id": "121308", "metric_name": "fte_employees", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "89.92", "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": "121308-fte_employees-12-31-2022", "entity_id": "121308", "metric_name": "fte_employees", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "85.55", "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": "121308-fte_employees-12-31-2021", "entity_id": "121308", "metric_name": "fte_employees", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "89.69", "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": "121308-fte_employees-12-31-2020", "entity_id": "121308", "metric_name": "fte_employees", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "94.03", "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": "121308-beds-12-31-2023", "entity_id": "121308", "metric_name": "beds", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "9", "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": "121308-beds-12-31-2022", "entity_id": "121308", "metric_name": "beds", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "9", "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": "121308-beds-12-31-2021", "entity_id": "121308", "metric_name": "beds", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "9", "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": "121308-beds-12-31-2020", "entity_id": "121308", "metric_name": "beds", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "9", "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": "121308-patient_days-12-31-2023", "entity_id": "121308", "metric_name": "patient_days", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "1328", "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": "121308-patient_days-12-31-2022", "entity_id": "121308", "metric_name": "patient_days", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "907", "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": "121308-patient_days-12-31-2021", "entity_id": "121308", "metric_name": "patient_days", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "992", "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": "121308-patient_days-12-31-2020", "entity_id": "121308", "metric_name": "patient_days", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "1580", "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": "121308-discharges-12-31-2023", "entity_id": "121308", "metric_name": "discharges", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "13", "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": "121308-discharges-12-31-2022", "entity_id": "121308", "metric_name": "discharges", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "10", "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": "121308-discharges-12-31-2021", "entity_id": "121308", "metric_name": "discharges", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "7", "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": "121308-discharges-12-31-2020", "entity_id": "121308", "metric_name": "discharges", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "13", "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": "RICHARD SUTHERLAND", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ANTHONY TAKITANI", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN YAMAMOTO", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL REMBIS", "role": "CORPORATE OFFICER", "association_date": "09/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL REMBIS", "role": "W-2 MANAGING EMPLOYEE", "association_date": "09/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL REMBIS", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "09/01/2017", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KATHRYN LANCASTER", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARY HEW", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "TAMAR GOODFELLOW", "role": "CORPORATE DIRECTOR", "association_date": "03/31/2021", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "KAISER FOUNDATION HOSPITALS", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "12/24/2015", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WADE EBERSOLE", "role": "CORPORATE OFFICER", "association_date": "02/23/2023", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WADE EBERSOLE", "role": "W-2 MANAGING EMPLOYEE", "association_date": "02/23/2023", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WADE EBERSOLE", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "02/23/2023", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "STEPHEN MILLER", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BRYAN SMITH", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2017", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "07/01/2017", "percentage_ownership": "100", "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: Mauihealth.", "Operator/owner context: Mauihealth.", "CMS Care Compare ownership category: Voluntary non-profit - Private." ], "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 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:121308", "label": "KULA HOSPITAL", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:mauihealth", "label": "Mauihealth", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:richard-sutherland:0", "label": "RICHARD SUTHERLAND", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:anthony-takitani:1", "label": "ANTHONY TAKITANI", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:john-yamamoto:2", "label": "JOHN YAMAMOTO", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:michael-rembis:3", "label": "MICHAEL REMBIS", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:michael-rembis:4", "label": "MICHAEL REMBIS", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:michael-rembis:5", "label": "MICHAEL REMBIS", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:kathryn-lancaster:6", "label": "KATHRYN LANCASTER", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:mary-hew:7", "label": "MARY HEW", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:tamar-goodfellow:8", "label": "TAMAR GOODFELLOW", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:kaiser-foundation-hospitals:9", "label": "KAISER FOUNDATION HOSPITALS", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:wade-ebersole:10", "label": "WADE EBERSOLE", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:wade-ebersole:11", "label": "WADE EBERSOLE", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:wade-ebersole:12", "label": "WADE EBERSOLE", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" }, { "id": "cms-owner:stephen-miller:13", "label": "STEPHEN MILLER", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:bryan-smith:14", "label": "BRYAN SMITH", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:maui-health-system-a-kaiser-foundation-hospitals-llc:15", "label": "MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC", "kind": "cms_owner_or_controller", "evidence": "OPERATIONAL/MANAGERIAL CONTROL" } ], "edges": [ { "id": "organization:mauihealth->facility:121308", "from": "organization:mauihealth", "to": "facility:121308", "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:richard-sutherland:0->facility:121308", "from": "cms-owner:richard-sutherland:0", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 100% reported ownership · associated 07/01/2017" }, { "id": "cms-owner:anthony-takitani:1->facility:121308", "from": "cms-owner:anthony-takitani:1", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 100% reported ownership · associated 07/01/2017" }, { "id": "cms-owner:john-yamamoto:2->facility:121308", "from": "cms-owner:john-yamamoto:2", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 100% reported ownership · associated 07/01/2017" }, { "id": "cms-owner:michael-rembis:3->facility:121308", "from": "cms-owner:michael-rembis:3", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 09/01/2017" }, { "id": "cms-owner:michael-rembis:4->facility:121308", "from": "cms-owner:michael-rembis:4", "to": "facility:121308", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 09/01/2017" }, { "id": "cms-owner:michael-rembis:5->facility:121308", "from": "cms-owner:michael-rembis:5", "to": "facility:121308", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 09/01/2017" }, { "id": "cms-owner:kathryn-lancaster:6->facility:121308", "from": "cms-owner:kathryn-lancaster:6", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 100% reported ownership · associated 07/01/2017" }, { "id": "cms-owner:mary-hew:7->facility:121308", "from": "cms-owner:mary-hew:7", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 100% reported ownership · associated 07/01/2017" }, { "id": "cms-owner:tamar-goodfellow:8->facility:121308", "from": "cms-owner:tamar-goodfellow:8", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 100% reported ownership · associated 03/31/2021" }, { "id": "cms-owner:kaiser-foundation-hospitals:9->facility:121308", "from": "cms-owner:kaiser-foundation-hospitals:9", "to": "facility:121308", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/24/2015" }, { "id": "cms-owner:wade-ebersole:10->facility:121308", "from": "cms-owner:wade-ebersole:10", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · 100% reported ownership · associated 02/23/2023" }, { "id": "cms-owner:wade-ebersole:11->facility:121308", "from": "cms-owner:wade-ebersole:11", "to": "facility:121308", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · 100% reported ownership · associated 02/23/2023" }, { "id": "cms-owner:wade-ebersole:12->facility:121308", "from": "cms-owner:wade-ebersole:12", "to": "facility:121308", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 02/23/2023" }, { "id": "cms-owner:stephen-miller:13->facility:121308", "from": "cms-owner:stephen-miller:13", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 100% reported ownership · associated 07/01/2017" }, { "id": "cms-owner:bryan-smith:14->facility:121308", "from": "cms-owner:bryan-smith:14", "to": "facility:121308", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · 100% reported ownership · associated 07/01/2017" }, { "id": "cms-owner:maui-health-system-a-kaiser-foundation-hospitals-llc:15->facility:121308", "from": "cms-owner:maui-health-system-a-kaiser-foundation-hospitals-llc:15", "to": "facility:121308", "relationship": "controls or manages", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 07/01/2017" } ], "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": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 21717282, "latestValue": 30032748, "absoluteChange": 8315466, "percentChange": 38.28962574598423, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 25149474, "latestValue": 39349553, "absoluteChange": 14200079, "percentChange": 56.46272761012815, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 3590751, "latestValue": -8060700, "absoluteChange": -11651451, "percentChange": -324.4850728997917, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 152761643, "latestValue": 268344952, "absoluteChange": 115583309, "percentChange": 75.66252020476108, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 124037235, "latestValue": 147474628, "absoluteChange": 23437393, "percentChange": 18.89544941887813, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 94.03, "latestValue": 89.92, "absoluteChange": -4.109999999999999, "percentChange": -4.37094544294374, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 9, "latestValue": 9, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 1580, "latestValue": 1328, "absoluteChange": -252, "percentChange": -15.949367088607595, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 13, "latestValue": 13, "absoluteChange": 0, "percentChange": 0, "unit": "discharges" } ], "firstGlance": { "taxOwnershipType": "Nonprofit", "operator": "Mauihealth", "directPeOwnership": "Not documented as direct PE ownership in this state-template pass", "peRelationship": "Watchlist signal", "careLevel": "Critical Access Hospitals", "currentCeo": "Needs source-backed local leader research", "bottomLine": "KULA 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": "KULA, MAUI, Hawaii. Service role should be refined in manual follow-up.", "traumaCareLevel": "Critical Access 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": "Not Available", "emergencyServices": "Yes", "hospitalType": "Critical Access 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 } }