{ "schemaVersion": 4, "entityId": "050060", "canonicalName": "COMMUNITY REGIONAL MEDICAL CENTER", "status": "signal", "statusLabel": "Orange contractor signal under review", "summary": "Community Regional Medical Center was reviewed in the Fresno custom NEXT-style batch. Community Regional remains a nonprofit Community Medical Centers facility, with first-party Sound Physicians hospital medicine staffing postings and a source-backed Sound owner chain through Optum/UnitedHealth and Summit Partners. Unsupported PE ownership, contract scope, faith affiliation, sibling status, and independence claims remain limited to the cited sources.", "lastReviewed": "2026-07-04", "review": { "reviewer": "Codex Fresno custom NEXT-style batch", "evidence_grade": "source-family review completed with explicit unresolved items", "confidence": "high", "source_count": 15, "ownership_source_count": 15, "identity_match_method": "Entity ID 050060; CCN 050060", "publication_decision": "Change to orange contractor signal under review; keep direct nonprofit facility ownership and Community Medical system affiliation visible.", "batch_id": "next-50-2026-07-04-fresno-city-001" }, "firstGlance": { "taxOwnershipType": "Nonprofit", "operator": "Community Hospitals of Central California", "directPeOwnership": "Orange contractor signal: Sound Physicians hospital medicine staffing postings; Sound owner context includes Optum/UnitedHealth and Summit Partners. Direct facility ownership remains nonprofit Community Medical Centers.", "peRelationship": "Orange contractor signal: Sound Physicians hospital medicine staffing postings; Sound owner context includes Optum/UnitedHealth and Summit Partners. Direct facility ownership remains nonprofit Community Medical Centers.", "institutionalShareholderContext": "Contractor owner context only: Sound Physicians is linked to Summit Partners and Optum/UnitedHealth sources; no direct hospital shareholder claim is made.", "populationServedEstimate": 0, "populationServedLabel": "Not estimated in this Fresno batch", "careLevel": "Acute Care Hospitals", "currentCeo": "Leadership research pending", "previousRelevantCeo": "Not identified in this Fresno batch", "operatorType": "Health system", "operatorName": "Community Hospitals of Central California", "parentSystem": "Community Medical Centers / Community Health System", "affiliatedSystem": "Community Medical Centers / Community Health System", "religiousAffiliation": "Secular/no evidence", "confidence": "high", "evidenceAsOf": "2026-07-04", "bottomLine": "Community Regional remains a nonprofit Community Medical Centers facility, with first-party Sound Physicians hospital medicine staffing postings and a source-backed Sound owner chain through Optum/UnitedHealth and Summit Partners." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Not estimated in this Fresno batch", "estimateMethod": "No catchment or access-time model was run for this custom batch.", "catchmentDescription": "FRESNO, FRESNO, CA", "traumaCareLevel": "Acute Care Hospitals", "publicFacingCaveat": "Sound hospitalist contract terms, start date, compensation, complete service-line scope, and direct facility confirmation remain unresolved." }, "religiousAffiliation": { "affiliation": "Secular/no evidence", "affiliationType": "not_established", "sponsorOrOrder": "", "faithBasedSystem": "", "scope": "not_established", "confidence": "medium", "sourceIds": [], "sourceUrls": [], "evidenceAsOf": "2026-07-04", "notes": "No current faith-based governance source captured; do not infer beyond this review." }, "qualityAndLaborContext": { "immediateJeopardy2026SourceStatus": "Not reviewed in this Fresno batch.", "noCausationClaim": true, "note": "Contract, ownership, and affiliation signals are presented as context only; this release does not infer quality or labor causation." }, "leadership": [], "identifiers": { "ccn": "050060", "npi": null, "historicalCcns": [], "aliases": [] }, "ownershipHistory": [ { "relationship_id": "rel-050060-community", "relationship_type": "owns", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "cms_owner_050060|hcai_crmc", "plain_english_summary": "Community Hospitals of Central California / Community Medical Centers nonprofit family" }, { "relationship_id": "rel-050060-sound-hospital-medicine-signal", "relationship_type": "hospital_medicine_staffing_signal", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "sound_careers_fresno_locations|sound_crmc_hospital_medicine_physician_2026|sound_crmc_hospital_medicine_pa_2026|sound_official_homepage|summit_sound_portfolio_2018_current|fierce_optum_summit_sound_2018|hfn_optum_summit_sound_2018", "plain_english_summary": "Community Regional Medical Center: Sound Physicians hospital medicine staffing signal. Official Sound Physicians postings recruit hospital medicine physicians and APPs for Community Regional Medical Center; contractor owner chain is Optum/UnitedHealth and Summit Partners. Signal only because an executed facility contract was not located." }, { "relationship_id": "rel-050060-sound-summit-owner-context", "relationship_type": "operates", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "summit_sound_portfolio_2018_current|fierce_optum_summit_sound_2018|hfn_optum_summit_sound_2018", "plain_english_summary": "Community Regional Medical Center: Summit Partners is a source-backed current Sound Physicians investor/owner context, not the direct facility owner." }, { "relationship_id": "rel-050060-sound-optum-unitedhealth-owner-context", "relationship_type": "operates", "effective_date": "2026-07-04", "end_date": "", "status": "current_or_contextual", "source_ids": "fierce_optum_summit_sound_2018|hfn_optum_summit_sound_2018", "plain_english_summary": "Community Regional Medical Center: Optum/UnitedHealth is a source-backed Sound Physicians owner context from the 2018 acquisition reporting, not the direct facility owner." } ], "acquisitionEvents": [ { "date": "2026-06-24", "title": "payer contract restored", "detail": "Community Health System and Blue Shield announced a new multi-year agreement retroactive to 2026-02-01.", "sourceIds": [ "fresnobee_blue_shield_2026" ] }, { "date": "2026-07-04", "title": "contractor staffing signal added", "detail": "Community Regional Medical Center: Sound Physicians hospital medicine contractor signal added; direct facility ownership remains separate.", "sourceIds": [ "sound_careers_fresno_locations", "sound_crmc_hospital_medicine_physician_2026", "sound_crmc_hospital_medicine_pa_2026" ] }, { "date": "2025-05-07", "title": "corporate integrity agreement context", "detail": "HHS-OIG lists an active Corporate Integrity Agreement for Fresno Community Hospital and Medical Center dba Community Health System.", "sourceIds": [ "hhs_oig_community_health_system_cia_2025" ] } ], "financialAndUtilizationSeries": [], "cmsOwnerRecords": [], "ownershipChain": { "model": "Fresno custom NEXT-style batch relationship graph. Edges are source-backed context, not automatic public label changes.", "confidence": "high", "nodes": [ { "id": "050060", "label": "COMMUNITY REGIONAL MEDICAL CENTER", "kind": "hospital", "evidence": "Reviewed in next-50-2026-07-04-fresno-city-001." }, { "id": "community-hospitals-central-california", "label": "community hospitals central california", "kind": "organization", "evidence": "Community Hospitals of Central California / Community Medical Centers nonprofit family" }, { "id": "sound-physicians", "label": "sound physicians", "kind": "organization", "evidence": "Community Regional Medical Center: Sound Physicians hospital medicine staffing signal. Official Sound Physicians postings recruit hospital medicine physicians and APPs for Community Regional Medical Center; contractor owner chain is Optum/UnitedHealth and Summit Partners. Signal only because an executed facility contract was not located." }, { "id": "summit-partners", "label": "summit partners", "kind": "organization", "evidence": "Community Regional Medical Center: Summit Partners is a source-backed current Sound Physicians investor/owner context, not the direct facility owner." }, { "id": "optum-unitedhealth-group", "label": "optum unitedhealth group", "kind": "organization", "evidence": "Community Regional Medical Center: Optum/UnitedHealth is a source-backed Sound Physicians owner context from the 2018 acquisition reporting, not the direct facility owner." } ], "edges": [ { "id": "rel-050060-community", "from": "050060", "to": "community-hospitals-central-california", "relationship": "owned_or_operated_by", "confidence": "high", "sourceIds": [ "cms_owner_050060", "hcai_crmc" ], "note": "Relationship edge is source-backed but public display still requires validation/approval." }, { "id": "rel-050060-sound-hospital-medicine-signal", "from": "050060", "to": "sound-physicians", "relationship": "hospital_medicine_staffing_signal", "confidence": "high", "sourceIds": [ "sound_careers_fresno_locations", "sound_crmc_hospital_medicine_physician_2026", "sound_crmc_hospital_medicine_pa_2026", "sound_official_homepage", "summit_sound_portfolio_2018_current", "fierce_optum_summit_sound_2018", "hfn_optum_summit_sound_2018" ], "note": "Contractor connection only; does not change direct facility ownership and is not a confirmed PE contract without Tier 1-3 facility contract confirmation." }, { "id": "rel-050060-sound-summit-owner-context", "from": "050060", "to": "summit-partners", "relationship": "contractor_owner_context", "confidence": "high", "sourceIds": [ "summit_sound_portfolio_2018_current", "fierce_optum_summit_sound_2018", "hfn_optum_summit_sound_2018" ], "note": "Owner context applies to the contractor organization Sound Physicians, not to the hospital facility operator." }, { "id": "rel-050060-sound-optum-unitedhealth-owner-context", "from": "050060", "to": "optum-unitedhealth-group", "relationship": "contractor_owner_context", "confidence": "medium", "sourceIds": [ "fierce_optum_summit_sound_2018", "hfn_optum_summit_sound_2018" ], "note": "Owner context applies to the contractor organization Sound Physicians, not to the hospital facility operator." } ], "caveats": [ "Sound hospitalist contract terms, start date, compensation, complete service-line scope, and direct facility confirmation remain unresolved.", "No Tier 1-3 facility contract, term sheet, board approval, or start date was located; do not classify as confirmed PE contract or PE-owned facility.", "Publish as orange contractor signal only. Direct facility ownership remains nonprofit/Community Medical context where supported; do not publish as confirmed PE contract until Tier 1-3 facility contract confirmation is located." ] }, "ownershipConnections": [ { "entityName": "community hospitals central california", "entityKind": "organization", "relationship": "owned_or_operated_by", "classification": "high", "evidenceSourceIds": [ "cms_owner_050060", "hcai_crmc" ], "note": "Community Hospitals of Central California / Community Medical Centers nonprofit family" }, { "entityName": "sound physicians", "entityKind": "organization", "relationship": "hospital_medicine_staffing_signal", "classification": "high", "evidenceSourceIds": [ "sound_careers_fresno_locations", "sound_crmc_hospital_medicine_physician_2026", "sound_crmc_hospital_medicine_pa_2026", "sound_official_homepage", "summit_sound_portfolio_2018_current", "fierce_optum_summit_sound_2018", "hfn_optum_summit_sound_2018" ], "note": "Community Regional Medical Center: Sound Physicians hospital medicine staffing signal. Official Sound Physicians postings recruit hospital medicine physicians and APPs for Community Regional Medical Center; contractor owner chain is Optum/UnitedHealth and Summit Partners. Signal only because an executed facility contract was not located." }, { "entityName": "summit partners", "entityKind": "organization", "relationship": "contractor_owner_context", "classification": "high", "evidenceSourceIds": [ "summit_sound_portfolio_2018_current", "fierce_optum_summit_sound_2018", "hfn_optum_summit_sound_2018" ], "note": "Community Regional Medical Center: Summit Partners is a source-backed current Sound Physicians investor/owner context, not the direct facility owner." }, { "entityName": "optum unitedhealth group", "entityKind": "organization", "relationship": "contractor_owner_context", "classification": "medium", "evidenceSourceIds": [ "fierce_optum_summit_sound_2018", "hfn_optum_summit_sound_2018" ], "note": "Community Regional Medical Center: Optum/UnitedHealth is a source-backed Sound Physicians owner context from the 2018 acquisition reporting, not the direct facility owner." } ], "importantLinks": [ { "label": "CMS Hospital Enrollments local cache", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "sourceId": "cms_enroll_050060", "note": "Fresno Community Hospital and Medical Center is enrolled as Community Regional Medical Center at 2823 Fresno St and is nonprofit/corporation in the CMS enrollment cache. Limit: Does not prove absence of contractors or full current governance. Audit location: research/cache/hospital-enrollments.csv; CCN 050060 row" }, { "label": "CMS Hospital All Owners local cache", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "sourceId": "cms_owner_050060", "note": "Community Hospitals of Central California appears as 100 percent direct owner/operational control for Fresno Community Hospital and Medical Center. Limit: Does not prove no external service contracts. Audit location: research/cache/hospital-all-owners.csv; Associate ID 3173430865 owner rows" }, { "label": "Community Regional Medical Center-Fresno profile", "url": "https://hcai.ca.gov/facility/community-regional-medical-center-fresno/", "sourceId": "hcai_crmc", "note": "Community Regional is open, licensed as a general acute care hospital, has 685 licensed beds, and HCAI consolidates Community Behavioral, Community Subacute, and Fresno Heart and Surgical with it. Limit: Does not identify all contractors or ownership chain above CMS owner rows. Hospital profile and consolidated reporting lines" }, { "label": "Community Health System and Blue Shield restore network care", "url": "https://www.fresnobee.com/news/local/article316239668.html", "sourceId": "fresnobee_blue_shield_2026", "note": "Community Health System and Blue Shield reached a new multi-year agreement announced 2026-06-24, effective immediately and retroactive to 2026-02-01 after a lapse. Limit: Does not list every Community Medical payer contract or prove ownership. Lines 209-229 from web capture" }, { "label": "Community Medical Centers locations navigation", "url": "https://www.communitymedical.org/locations/community-regional-medical-center", "sourceId": "community_locations_nav", "note": "Community Medical location navigation lists Community Regional, Fresno Heart & Surgical, Community Behavioral, and Community Subacute within the Community Medical Centers location family. Limit: Does not prove CMS ownership by itself. Jina reader locations navigation" }, { "label": "Sound Physicians Fresno location jobs page", "url": "https://careers.soundphysicians.com/location/fresno-california-united-states-jobs/47903/6252001-5332921-5350937/4", "sourceId": "sound_careers_fresno_locations", "note": "Sound Physicians lists Fresno location job activity tied to Community Regional Medical Center and Community Behavioral Health Center addresses. Limit: Does not publish the hospital contract, term, compensation, scope, or effective date. Fresno location page lists Community Regional Medical Center and Community Behavioral Health Center addresses" }, { "label": "Hospital Medicine Physician opening at Community Regional Medical Center", "url": "https://careers.soundphysicians.com/job/fresno/hospital-medicine-physician/48983/96186164880", "sourceId": "sound_crmc_hospital_medicine_physician_2026", "note": "Sound Physicians is recruiting hospital medicine physicians for Community Regional Medical Center in Fresno. Limit: Does not by itself confirm an executed facility contract or all hospitalist coverage. Official job posting names Community Regional Medical Center and a 50-physician/10-APP hospital medicine team" }, { "label": "Hospital Medicine Physician Assistant opening at Community Regional Medical Center", "url": "https://careers.soundphysicians.com/job/fresno/hospital-medicine-physician-assistant-swing-shift/48983/96273210144", "sourceId": "sound_crmc_hospital_medicine_pa_2026", "note": "Sound Physicians is recruiting hospital medicine advanced-practice staff for Community Regional Medical Center. Limit: Does not publish contract terms, start date, or whether every hospitalist shift is covered by Sound. Official PA posting names Community Regional Medical Center and the hospital medicine team" } ], "descriptiveTrends": [], "systemConnections": [ { "systemName": "community hospitals central california", "relationship": "owned_or_operated_by", "evidenceSourceIds": [ "cms_owner_050060", "hcai_crmc" ], "facilities": [ { "name": "COMMUNITY REGIONAL MEDICAL CENTER", "role": "Community Hospitals of Central California / Community Medical Centers nonprofit family", "city": "FRESNO", "state": "CA", "recordId": "050060", "note": "Relationship edge is source-backed but public display still requires validation/approval." } ] }, { "systemName": "sound physicians", "relationship": "hospital_medicine_staffing_signal", "evidenceSourceIds": [ "sound_careers_fresno_locations", "sound_crmc_hospital_medicine_physician_2026", "sound_crmc_hospital_medicine_pa_2026", "sound_official_homepage", "summit_sound_portfolio_2018_current", "fierce_optum_summit_sound_2018", "hfn_optum_summit_sound_2018" ], "facilities": [ { "name": "COMMUNITY REGIONAL MEDICAL CENTER", "role": "Community Regional Medical Center: Sound Physicians hospital medicine staffing signal. Official Sound Physicians postings recruit hospital medicine physicians and APPs for Community Regional Medical Center; contractor owner chain is Optum/UnitedHealth and Summit Partners. Signal only because an executed facility contract was not located.", "city": "FRESNO", "state": "CA", "recordId": "050060", "note": "Contractor connection only; does not change direct facility ownership and is not a confirmed PE contract without Tier 1-3 facility contract confirmation." } ] }, { "systemName": "summit partners", "relationship": "contractor_owner_context", "evidenceSourceIds": [ "summit_sound_portfolio_2018_current", "fierce_optum_summit_sound_2018", "hfn_optum_summit_sound_2018" ], "facilities": [ { "name": "COMMUNITY REGIONAL MEDICAL CENTER", "role": "Community Regional Medical Center: Summit Partners is a source-backed current Sound Physicians investor/owner context, not the direct facility owner.", "city": "FRESNO", "state": "CA", "recordId": "050060", "note": "Owner context applies to the contractor organization Sound Physicians, not to the hospital facility operator." } ] }, { "systemName": "optum unitedhealth group", "relationship": "contractor_owner_context", "evidenceSourceIds": [ "fierce_optum_summit_sound_2018", "hfn_optum_summit_sound_2018" ], "facilities": [ { "name": "COMMUNITY REGIONAL MEDICAL CENTER", "role": "Community Regional Medical Center: Optum/UnitedHealth is a source-backed Sound Physicians owner context from the 2018 acquisition reporting, not the direct facility owner.", "city": "FRESNO", "state": "CA", "recordId": "050060", "note": "Owner context applies to the contractor organization Sound Physicians, not to the hospital facility operator." } ] } ], "directConnections": [ "Community Hospitals of Central California nonprofit facility/operator context; contractor layer tracked separately.", "Official Sound Physicians postings recruit hospital medicine physicians and APPs for Community Regional Medical Center; contractor owner chain is Optum/UnitedHealth and Summit Partners. Signal only because an executed facility contract was not located.", "Community Hospitals of Central California / Community Medical Centers nonprofit family", "Community Regional Medical Center: Sound Physicians hospital medicine staffing signal. Official Sound Physicians postings recruit hospital medicine physicians and APPs for Community Regional Medical Center; contractor owner chain is Optum/UnitedHealth and Summit Partners. Signal only because an executed facility contract was not located.", "Community Regional Medical Center: Summit Partners is a source-backed current Sound Physicians investor/owner context, not the direct facility owner.", "Community Regional Medical Center: Optum/UnitedHealth is a source-backed Sound Physicians owner context from the 2018 acquisition reporting, not the direct facility owner." ], "actions": [ "2026-06-24: Community Health System and Blue Shield announced a new multi-year agreement retroactive to 2026-02-01.", "2026-07-04: Community Regional Medical Center: Sound Physicians hospital medicine contractor signal added; direct facility ownership remains separate.", "2025-05-07: HHS-OIG lists an active Corporate Integrity Agreement for Fresno Community Hospital and Medical Center dba Community Health System." ], "contradictions": [ { "topic": "Sound Physicians staffing signal exists, but no Tier 1-3 executed facility contract or terms source was located.", "claim_a": "Sound Physicians staffing signal exists, but no Tier 1-3 executed facility contract or terms source was located.", "claim_b": "Sources: sound_careers_fresno_locations|sound_crmc_hospital_medicine_physician_2026|sound_crmc_hospital_medicine_pa_2026|sound_official_homepage|summit_sound_portfolio_2018_current|fierce_optum_summit_sound_2018|hfn_optum_summit_sound_2018", "resolution_status": "Publish orange signal under review only. Do not publish as red confirmed PE contract or direct PE ownership." } ], "limitations": [ "Sound hospitalist contract terms, start date, compensation, complete service-line scope, and direct facility confirmation remain unresolved.", "No Tier 1-3 facility contract, term sheet, board approval, or start date was located; do not classify as confirmed PE contract or PE-owned facility.", "Publish as orange contractor signal only. Direct facility ownership remains nonprofit/Community Medical context where supported; do not publish as confirmed PE contract until Tier 1-3 facility contract confirmation is located." ], "unavailableFields": [ "Sound hospitalist contract terms, start date, compensation, complete service-line scope, and direct facility confirmation remain unresolved.", "No Tier 1-3 facility contract, term sheet, board approval, or start date was located; do not classify as confirmed PE contract or PE-owned facility.", "Publish as orange contractor signal only. Direct facility ownership remains nonprofit/Community Medical context where supported; do not publish as confirmed PE contract until Tier 1-3 facility contract confirmation is located." ], "sources": [ { "source_id": "cms_enroll_050060", "title": "CMS Hospital Enrollments local cache", "publisher": "CMS", "publication_date": "2026-06-24", "retrieved_at": "2026-07-04", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "high", "research_note": "Fresno Community Hospital and Medical Center is enrolled as Community Regional Medical Center at 2823 Fresno St and is nonprofit/corporation in the CMS enrollment cache. Limit: Does not prove absence of contractors or full current governance. Audit location: research/cache/hospital-enrollments.csv; CCN 050060 row" }, { "source_id": "cms_owner_050060", "title": "CMS Hospital All Owners local cache", "publisher": "CMS", "publication_date": "2026-06-24", "retrieved_at": "2026-07-04", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "high", "research_note": "Community Hospitals of Central California appears as 100 percent direct owner/operational control for Fresno Community Hospital and Medical Center. Limit: Does not prove no external service contracts. Audit location: research/cache/hospital-all-owners.csv; Associate ID 3173430865 owner rows" }, { "source_id": "hcai_crmc", "title": "Community Regional Medical Center-Fresno profile", "publisher": "HCAI", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://hcai.ca.gov/facility/community-regional-medical-center-fresno/", "reliability_tier": "high", "research_note": "Community Regional is open, licensed as a general acute care hospital, has 685 licensed beds, and HCAI consolidates Community Behavioral, Community Subacute, and Fresno Heart and Surgical with it. Limit: Does not identify all contractors or ownership chain above CMS owner rows. Hospital profile and consolidated reporting lines" }, { "source_id": "fresnobee_blue_shield_2026", "title": "Community Health System and Blue Shield restore network care", "publisher": "Fresno Bee", "publication_date": "2026-06-24", "retrieved_at": "2026-07-04", "url": "https://www.fresnobee.com/news/local/article316239668.html", "reliability_tier": "medium", "research_note": "Community Health System and Blue Shield reached a new multi-year agreement announced 2026-06-24, effective immediately and retroactive to 2026-02-01 after a lapse. Limit: Does not list every Community Medical payer contract or prove ownership. Lines 209-229 from web capture" }, { "source_id": "community_locations_nav", "title": "Community Medical Centers locations navigation", "publisher": "Community Medical Centers", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://www.communitymedical.org/locations/community-regional-medical-center", "reliability_tier": "high", "research_note": "Community Medical location navigation lists Community Regional, Fresno Heart & Surgical, Community Behavioral, and Community Subacute within the Community Medical Centers location family. Limit: Does not prove CMS ownership by itself. Jina reader locations navigation" }, { "source_id": "sound_careers_fresno_locations", "title": "Sound Physicians Fresno location jobs page", "publisher": "Sound Physicians", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://careers.soundphysicians.com/location/fresno-california-united-states-jobs/47903/6252001-5332921-5350937/4", "reliability_tier": "high", "research_note": "Sound Physicians lists Fresno location job activity tied to Community Regional Medical Center and Community Behavioral Health Center addresses. Limit: Does not publish the hospital contract, term, compensation, scope, or effective date. Fresno location page lists Community Regional Medical Center and Community Behavioral Health Center addresses" }, { "source_id": "sound_crmc_hospital_medicine_physician_2026", "title": "Hospital Medicine Physician opening at Community Regional Medical Center", "publisher": "Sound Physicians", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://careers.soundphysicians.com/job/fresno/hospital-medicine-physician/48983/96186164880", "reliability_tier": "high", "research_note": "Sound Physicians is recruiting hospital medicine physicians for Community Regional Medical Center in Fresno. Limit: Does not by itself confirm an executed facility contract or all hospitalist coverage. Official job posting names Community Regional Medical Center and a 50-physician/10-APP hospital medicine team" }, { "source_id": "sound_crmc_hospital_medicine_pa_2026", "title": "Hospital Medicine Physician Assistant opening at Community Regional Medical Center", "publisher": "Sound Physicians", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://careers.soundphysicians.com/job/fresno/hospital-medicine-physician-assistant-swing-shift/48983/96273210144", "reliability_tier": "high", "research_note": "Sound Physicians is recruiting hospital medicine advanced-practice staff for Community Regional Medical Center. Limit: Does not publish contract terms, start date, or whether every hospitalist shift is covered by Sound. Official PA posting names Community Regional Medical Center and the hospital medicine team" }, { "source_id": "sound_official_homepage", "title": "Sound Physicians official services overview", "publisher": "Sound Physicians", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://www.soundphysicians.com/", "reliability_tier": "high", "research_note": "Sound Physicians describes itself as a hospital staffing and physician practice-management partner across hospital medicine, emergency medicine, critical care, anesthesia, and related service lines. Limit: Does not identify any specific Fresno hospital contract or legal contract terms. Official service lines and hospital staffing/practice-management language" }, { "source_id": "summit_sound_portfolio_2018_current", "title": "Sound Physicians portfolio page", "publisher": "Summit Partners", "publication_date": "2026", "retrieved_at": "2026-07-04", "url": "https://www.summitpartners.com/companies/sound-physicians", "reliability_tier": "high", "research_note": "Summit Partners identifies Sound Physicians as a current portfolio company, invested in 2018, and describes its acute/post-acute hospital service lines. Limit: Does not identify Fresno facility contracts or Optum ownership terms by itself. Portfolio page lists Sound Physicians as a current Summit investment from 2018" }, { "source_id": "fierce_optum_summit_sound_2018", "title": "UnitedHealth, OptumHealth, Summit Partners Sound Physicians acquisition report", "publisher": "Fierce Healthcare", "publication_date": "2018", "retrieved_at": "2026-07-04", "url": "https://www.fiercehealthcare.com/payer/unitedhealth-optumhealth-summit-partners-sound-physician-medical-holdings-acquisition", "reliability_tier": "medium_high", "research_note": "Trade press reported OptumHealth/UnitedHealth and Summit Partners as owners in the $2.2B Sound Physicians acquisition. Limit: Does not prove current Fresno hospital contracts. Transaction report describes OptumHealth and Summit Partners ownership in a $2.2B Sound acquisition" }, { "source_id": "hfn_optum_summit_sound_2018", "title": "OptumHealth and Summit Partners acquire Sound Inpatient Physician Holdings for $2.2B", "publisher": "Healthcare Finance News", "publication_date": "2018", "retrieved_at": "2026-07-04", "url": "https://www.healthcarefinancenews.com/news/optumhealth-and-summit-partners-acquire-staffing-firm-sound-inpatient-physician-holdings-22", "reliability_tier": "medium_high", "research_note": "Trade press reported OptumHealth, part of UnitedHealth Group, and Summit Partners acquired Sound Inpatient Physician Holdings for $2.2B. Limit: Does not identify current ownership percentages or Fresno contracts. Transaction report describes Sound as a hospital staffing company and identifies OptumHealth/Summit buyers" }, { "source_id": "hhs_oig_community_health_system_cia_2025", "title": "Fresno Community Hospital and Medical Center dba Community Health System Corporate Integrity Agreement", "publisher": "HHS Office of Inspector General", "publication_date": "2025-05-07", "retrieved_at": "2026-07-04", "url": "https://oig.hhs.gov/compliance/corporate-integrity-agreements/browse-cias/fresno-community-hospital-and-medical-center-dba-community-health-system/", "reliability_tier": "high", "research_note": "HHS-OIG lists an active 2025 Corporate Integrity Agreement for Fresno Community Hospital and Medical Center dba Community Health System. Limit: Does not prove Sound staffing, PE ownership, or contract scope. OIG CIA page lists active 5-year CIA and settlement context" }, { "source_id": "ca_sb351_sidley_2025", "title": "California SB 351 corporate practice restrictions overview", "publisher": "Sidley", "publication_date": "2025-10", "retrieved_at": "2026-07-04", "url": "https://www.sidley.com/en/insights/newsupdates/2025/10/newly-enacted-california-law-formalizes-corporate-practice-restrictions", "reliability_tier": "medium", "research_note": "California legal context includes SB 351 restrictions relevant to management-service and clinical-control arrangements. Limit: Does not prove any violation or contract terms at the Fresno facilities. Legal update summarizes California SB 351 and corporate-practice restrictions effective 2026-01-01" }, { "source_id": "aaem_envision_ca_lawsuit_update", "title": "AAEM-PG update on California lawsuit against Envision Healthcare", "publisher": "AAEM Physician Group", "publication_date": "2024", "retrieved_at": "2026-07-04", "url": "https://www.aaemphysiciangroup.com/news/update-aaem-pg-lawsuit-against-envision-healthcare/", "reliability_tier": "medium", "research_note": "California corporate-practice litigation is a relevant precedent for contractor-control analysis. Limit: Does not prove Sound contract scope, wrongdoing, or PE ownership of any Fresno facility. AAEM-PG describes Envision withdrawal from California after corporate-practice litigation" } ] }