{
  "schemaVersion": 3,
  "entityId": "171357",
  "canonicalName": "HILLSBORO COMMUNITY HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "HILLSBORO COMMUNITY HOSPITAL appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "171357",
    "npi": "1740828912",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "HILLSBORO HOSPITAL LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "HILLSBORO COMMUNITY HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-171357",
      "from_entity_id": "reported owner",
      "to_entity_id": "171357",
      "relationship_type": "venture_backing",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "undefined is reported as an investment backer; this is not treated as a completed ownership claim.",
      "review_notes": "CMS explicitly identifies at least one owner as an investment firm or private-equity company."
    }
  ],
  "acquisitionEvents": [],
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      "unit": "USD",
      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
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      "better_when": "context_dependent",
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      "association_date": "12/09/2019",
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      "investment_firm": false,
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    },
    {
      "organization": "PAUL GUASTELLO",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/09/2019",
      "percentage_ownership": "12.97",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JAMI HOMFELD",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2025",
      "percentage_ownership": "3",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:171357",
        "label": "HILLSBORO COMMUNITY HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:rhg-consolidated-llc",
        "label": "RHG CONSOLIDATED LLC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:darrel-morris:0",
        "label": "DARREL MORRIS",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:darrel-morris:1",
        "label": "DARREL MORRIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:darrel-morris:2",
        "label": "DARREL MORRIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:darrel-morris:3",
        "label": "DARREL MORRIS",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:rhg-consolidated-llc:4",
        "label": "RHG CONSOLIDATED LLC",
        "kind": "cms_management_company",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:rhg-consolidated-llc:5",
        "label": "RHG CONSOLIDATED LLC",
        "kind": "cms_management_company",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:phyllis-shaffer:6",
        "label": "PHYLLIS SHAFFER",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:lawrence-arthur:7",
        "label": "LAWRENCE ARTHUR",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:trent-skaggs:8",
        "label": "TRENT SKAGGS",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:trent-skaggs:9",
        "label": "TRENT SKAGGS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:trent-skaggs:10",
        "label": "TRENT SKAGGS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:trent-skaggs:11",
        "label": "TRENT SKAGGS",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:lg-medical-llc:12",
        "label": "LG MEDICAL LLC",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:brent-lagergren:13",
        "label": "BRENT LAGERGREN",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:brent-lagergren:14",
        "label": "BRENT LAGERGREN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:billy-may:15",
        "label": "BILLY MAY",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:rhg-consolidated-llc->facility:171357",
        "from": "organization:rhg-consolidated-llc",
        "to": "facility:171357",
        "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:darrel-morris:0->facility:171357",
        "from": "cms-owner:darrel-morris:0",
        "to": "facility:171357",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 16.22% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:darrel-morris:1->facility:171357",
        "from": "cms-owner:darrel-morris:1",
        "to": "facility:171357",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 16.22% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:darrel-morris:2->facility:171357",
        "from": "cms-owner:darrel-morris:2",
        "to": "facility:171357",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 16.22% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:darrel-morris:3->facility:171357",
        "from": "cms-owner:darrel-morris:3",
        "to": "facility:171357",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 16.22% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:rhg-consolidated-llc:4->facility:171357",
        "from": "cms-owner:rhg-consolidated-llc:4",
        "to": "facility:171357",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:rhg-consolidated-llc:5->facility:171357",
        "from": "cms-owner:rhg-consolidated-llc:5",
        "to": "facility:171357",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:phyllis-shaffer:6->facility:171357",
        "from": "cms-owner:phyllis-shaffer:6",
        "to": "facility:171357",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 6.08% reported ownership · associated 12/05/2024"
      },
      {
        "id": "cms-owner:lawrence-arthur:7->facility:171357",
        "from": "cms-owner:lawrence-arthur:7",
        "to": "facility:171357",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 16.67% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:trent-skaggs:8->facility:171357",
        "from": "cms-owner:trent-skaggs:8",
        "to": "facility:171357",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 16.67% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:trent-skaggs:9->facility:171357",
        "from": "cms-owner:trent-skaggs:9",
        "to": "facility:171357",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 16.67% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:trent-skaggs:10->facility:171357",
        "from": "cms-owner:trent-skaggs:10",
        "to": "facility:171357",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 16.67% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:trent-skaggs:11->facility:171357",
        "from": "cms-owner:trent-skaggs:11",
        "to": "facility:171357",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 16.67% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:lg-medical-llc:12->facility:171357",
        "from": "cms-owner:lg-medical-llc:12",
        "to": "facility:171357",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 10% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:brent-lagergren:13->facility:171357",
        "from": "cms-owner:brent-lagergren:13",
        "to": "facility:171357",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 6.09% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:brent-lagergren:14->facility:171357",
        "from": "cms-owner:brent-lagergren:14",
        "to": "facility:171357",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 6.09% reported ownership · associated 12/09/2019"
      },
      {
        "id": "cms-owner:billy-may:15->facility:171357",
        "from": "cms-owner:billy-may:15",
        "to": "facility:171357",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5.63% reported ownership · associated 12/09/2019"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "12/08/2019",
      "latestPeriod": "12/31/2022",
      "earliestValue": 1212295,
      "latestValue": 9193142,
      "absoluteChange": 7980847,
      "percentChange": 658.3254900828595,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 9269917,
      "latestValue": 9651644,
      "absoluteChange": 381727,
      "percentChange": 4.117911735347792,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1618584,
      "latestValue": -9651644,
      "absoluteChange": -11270228,
      "percentChange": -696.3017056884289,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/08/2019",
      "latestPeriod": "12/31/2022",
      "earliestValue": 11248541,
      "latestValue": 11034272,
      "absoluteChange": -214269,
      "percentChange": -1.9048603725585387,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/08/2019",
      "latestPeriod": "12/31/2022",
      "earliestValue": 12339918,
      "latestValue": 10631942,
      "absoluteChange": -1707976,
      "percentChange": -13.841064421984003,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 55.67,
      "latestValue": 48.84,
      "absoluteChange": -6.829999999999998,
      "percentChange": -12.268726423567447,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 15,
      "latestValue": 15,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1368,
      "latestValue": 1208,
      "absoluteChange": -160,
      "percentChange": -11.695906432748536,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 141,
      "latestValue": 112,
      "absoluteChange": -29,
      "percentChange": -20.56737588652482,
      "unit": "discharges"
    }
  ]
}
