{
  "schemaVersion": 3,
  "entityId": "270023",
  "canonicalName": "COMMUNITY MEDICAL CENTER",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "COMMUNITY MEDICAL CENTER is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for RCHP BILLINGS - MISSOULA LLC. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "high",
    "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": "270023",
    "npi": "1346642899",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "RCHP BILLINGS - MISSOULA LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-lifepointhealth-270023",
      "from_entity_id": "LifePoint Health",
      "to_entity_id": "270023",
      "relationship_type": "owns",
      "effective_date": "December 2015",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "high",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies LifePoint Health in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS explicitly identifies at least one owner as an investment firm or private-equity company."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "December 2015",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "270023-net_patient_revenue-12-31-2023",
      "entity_id": "270023",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "247399528",
      "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": "270023-net_patient_revenue-12-31-2022",
      "entity_id": "270023",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "238249345",
      "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": "270023-net_patient_revenue-12-31-2021",
      "entity_id": "270023",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "250635807",
      "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": "270023-operating_expense-12-31-2023",
      "entity_id": "270023",
      "metric_name": "operating_expense",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "220781944",
      "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": "270023-operating_expense-12-31-2022",
      "entity_id": "270023",
      "metric_name": "operating_expense",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "219768474",
      "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": "270023-operating_expense-12-31-2021",
      "entity_id": "270023",
      "metric_name": "operating_expense",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "224616304",
      "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": "270023-net_income-12-31-2023",
      "entity_id": "270023",
      "metric_name": "net_income",
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      "period_end": "12/31/2023",
      "value": "34508157",
      "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": "270023-net_income-12-31-2022",
      "entity_id": "270023",
      "metric_name": "net_income",
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      "period_end": "12/31/2022",
      "value": "27449895",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "270023-net_income-12-31-2021",
      "entity_id": "270023",
      "metric_name": "net_income",
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      "unit": "USD",
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      "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": "270023-total_assets-12-31-2023",
      "entity_id": "270023",
      "metric_name": "total_assets",
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      "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": "270023-total_assets-12-31-2022",
      "entity_id": "270023",
      "metric_name": "total_assets",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "270023-total_assets-12-31-2021",
      "entity_id": "270023",
      "metric_name": "total_assets",
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      "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": "270023-total_liabilities-12-31-2023",
      "entity_id": "270023",
      "metric_name": "total_liabilities",
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      "period_end": "12/31/2023",
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      "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": "270023-total_liabilities-12-31-2022",
      "entity_id": "270023",
      "metric_name": "total_liabilities",
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      "period_end": "12/31/2022",
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      "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": "270023-total_liabilities-12-31-2021",
      "entity_id": "270023",
      "metric_name": "total_liabilities",
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      "period_end": "12/31/2021",
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      "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": "270023-contract_labor_direct_patient_care-12-31-2023",
      "entity_id": "270023",
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      "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": "270023-contract_labor_direct_patient_care-12-31-2022",
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    },
    {
      "metric_id": "270023-contract_labor_direct_patient_care-12-31-2021",
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      "metric_name": "contract_labor_direct_patient_care",
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      "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": "270023-fte_employees-12-31-2023",
      "entity_id": "270023",
      "metric_name": "fte_employees",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "691.16",
      "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": "270023-fte_employees-12-31-2022",
      "entity_id": "270023",
      "metric_name": "fte_employees",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "729.01",
      "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": "270023-fte_employees-12-31-2021",
      "entity_id": "270023",
      "metric_name": "fte_employees",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
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      "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": "270023-beds-12-31-2023",
      "entity_id": "270023",
      "metric_name": "beds",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "141",
      "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": "270023-beds-12-31-2022",
      "entity_id": "270023",
      "metric_name": "beds",
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      "period_end": "12/31/2022",
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      "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": "270023-beds-12-31-2021",
      "entity_id": "270023",
      "metric_name": "beds",
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      "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": "270023-patient_days-12-31-2023",
      "entity_id": "270023",
      "metric_name": "patient_days",
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      "period_end": "12/31/2023",
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      "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": "270023-patient_days-12-31-2022",
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      "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": "270023-patient_days-12-31-2021",
      "entity_id": "270023",
      "metric_name": "patient_days",
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      "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": "270023-discharges-12-31-2023",
      "entity_id": "270023",
      "metric_name": "discharges",
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      "period_end": "12/31/2023",
      "value": "4390",
      "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": "270023-discharges-12-31-2022",
      "entity_id": "270023",
      "metric_name": "discharges",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
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      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
    {
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      "entity_id": "270023",
      "metric_name": "discharges",
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      "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": "RCHP MONTANA LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/15/2014",
      "percentage_ownership": "83.58",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROBERT GOMES",
      "role": "CONTRACTED MANAGING EMPLOYEE",
      "association_date": "07/07/2021",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DSB ACQUISITION LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/03/2015",
      "percentage_ownership": "83.58",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KATHLEEN QUINONES",
      "role": "CORPORATE DIRECTOR",
      "association_date": "03/10/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHRISTOPHER FROST",
      "role": "CORPORATE DIRECTOR",
      "association_date": "08/16/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LIFEPOINT HEALTH INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "11/16/2018",
      "percentage_ownership": "83.58",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARCUS POPPELL",
      "role": "CORPORATE OFFICER",
      "association_date": "11/16/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "role": "CORPORATE OFFICER",
      "association_date": "02/12/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM ZIESMER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/12/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "organization": "CHARLOTTE LAWRENCE",
      "role": "CORPORATE OFFICER",
      "association_date": "03/10/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BILLINGS CLINIC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "12/15/2014",
      "percentage_ownership": "12.03",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "role": "CORPORATE DIRECTOR",
      "association_date": "03/10/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "REGIONALCARE HOSPITAL PARTNERS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/15/2014",
      "percentage_ownership": "83.58",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RCHP LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/15/2014",
      "percentage_ownership": "83.58",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOHN GROOMS",
      "role": "CORPORATE OFFICER",
      "association_date": "11/16/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KYLE KILGORE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/17/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BILLINGS RCHP HEALTHCARE HOLDINGS LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "12/15/2014",
      "percentage_ownership": "87.97",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHRISTOPHER MONTE",
      "role": "CORPORATE OFFICER",
      "association_date": "11/16/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JENNIFER ALDERFER",
      "role": "CORPORATE OFFICER",
      "association_date": "12/14/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JENNIFER ALDERFER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "11/13/2023",
      "percentage_ownership": "0",
      "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: LifePoint Health.",
    "Reported investment sponsor: Apollo Global Management."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [],
  "unavailableFields": [
    "Official facility URL"
  ],
  "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": "high",
    "nodes": [
      {
        "id": "facility:270023",
        "label": "COMMUNITY MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:apollo-global-management",
        "label": "Apollo Global Management",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:billings-rchp-healthcare-holdings-llc",
        "label": "BILLINGS RCHP HEALTHCARE HOLDINGS LLC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:rchp-montana-llc:0",
        "label": "RCHP MONTANA LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:robert-gomes:1",
        "label": "ROBERT GOMES",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:dsb-acquisition-llc:2",
        "label": "DSB ACQUISITION LLC",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:kathleen-quinones:3",
        "label": "KATHLEEN QUINONES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:christopher-frost:4",
        "label": "CHRISTOPHER FROST",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:lifepoint-health-inc:5",
        "label": "LIFEPOINT HEALTH INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:marcus-poppell:6",
        "label": "MARCUS POPPELL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:william-ziesmer:7",
        "label": "WILLIAM ZIESMER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:william-ziesmer:8",
        "label": "WILLIAM ZIESMER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:charlotte-lawrence:9",
        "label": "CHARLOTTE LAWRENCE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:billings-clinic:10",
        "label": "BILLINGS CLINIC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:clinton-seger:11",
        "label": "CLINTON SEGER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:regionalcare-hospital-partners-llc:12",
        "label": "REGIONALCARE HOSPITAL PARTNERS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:rchp-llc:13",
        "label": "RCHP LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:john-grooms:14",
        "label": "JOHN GROOMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->organization:billings-rchp-healthcare-holdings-llc",
        "from": "organization:apollo-global-management",
        "to": "organization:billings-rchp-healthcare-holdings-llc",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:billings-rchp-healthcare-holdings-llc->facility:270023",
        "from": "organization:billings-rchp-healthcare-holdings-llc",
        "to": "facility:270023",
        "relationship": "reported ownership or operating chain",
        "confidence": "high",
        "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:rchp-montana-llc:0->facility:270023",
        "from": "cms-owner:rchp-montana-llc:0",
        "to": "facility:270023",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 83.58% reported ownership · associated 12/15/2014"
      },
      {
        "id": "cms-owner:robert-gomes:1->facility:270023",
        "from": "cms-owner:robert-gomes:1",
        "to": "facility:270023",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · 0% reported ownership · associated 07/07/2021"
      },
      {
        "id": "cms-owner:dsb-acquisition-llc:2->facility:270023",
        "from": "cms-owner:dsb-acquisition-llc:2",
        "to": "facility:270023",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 83.58% reported ownership · associated 12/03/2015"
      },
      {
        "id": "cms-owner:kathleen-quinones:3->facility:270023",
        "from": "cms-owner:kathleen-quinones:3",
        "to": "facility:270023",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 03/10/2023"
      },
      {
        "id": "cms-owner:christopher-frost:4->facility:270023",
        "from": "cms-owner:christopher-frost:4",
        "to": "facility:270023",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 08/16/2023"
      },
      {
        "id": "cms-owner:lifepoint-health-inc:5->facility:270023",
        "from": "cms-owner:lifepoint-health-inc:5",
        "to": "facility:270023",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 83.58% reported ownership · associated 11/16/2018"
      },
      {
        "id": "cms-owner:marcus-poppell:6->facility:270023",
        "from": "cms-owner:marcus-poppell:6",
        "to": "facility:270023",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 11/16/2018"
      },
      {
        "id": "cms-owner:william-ziesmer:7->facility:270023",
        "from": "cms-owner:william-ziesmer:7",
        "to": "facility:270023",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 02/12/2024"
      },
      {
        "id": "cms-owner:william-ziesmer:8->facility:270023",
        "from": "cms-owner:william-ziesmer:8",
        "to": "facility:270023",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 02/12/2024"
      },
      {
        "id": "cms-owner:charlotte-lawrence:9->facility:270023",
        "from": "cms-owner:charlotte-lawrence:9",
        "to": "facility:270023",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 03/10/2023"
      },
      {
        "id": "cms-owner:billings-clinic:10->facility:270023",
        "from": "cms-owner:billings-clinic:10",
        "to": "facility:270023",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 12.03% reported ownership · associated 12/15/2014"
      },
      {
        "id": "cms-owner:clinton-seger:11->facility:270023",
        "from": "cms-owner:clinton-seger:11",
        "to": "facility:270023",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 03/10/2023"
      },
      {
        "id": "cms-owner:regionalcare-hospital-partners-llc:12->facility:270023",
        "from": "cms-owner:regionalcare-hospital-partners-llc:12",
        "to": "facility:270023",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 83.58% reported ownership · associated 12/15/2014"
      },
      {
        "id": "cms-owner:rchp-llc:13->facility:270023",
        "from": "cms-owner:rchp-llc:13",
        "to": "facility:270023",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 83.58% reported ownership · associated 12/15/2014"
      },
      {
        "id": "cms-owner:john-grooms:14->facility:270023",
        "from": "cms-owner:john-grooms:14",
        "to": "facility:270023",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 11/16/2018"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.",
      "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 250635807,
      "latestValue": 247399528,
      "absoluteChange": -3236279,
      "percentChange": -1.2912277135245884,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 224616304,
      "latestValue": 220781944,
      "absoluteChange": -3834360,
      "percentChange": -1.7070710948925594,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 32735885,
      "latestValue": 34508157,
      "absoluteChange": 1772272,
      "percentChange": 5.413850885656521,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 190645751,
      "latestValue": 221727106,
      "absoluteChange": 31081355,
      "percentChange": 16.30319838599498,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 8548054,
      "latestValue": -86342172,
      "absoluteChange": -94890226,
      "percentChange": -1110.079861451507,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1974983,
      "latestValue": 4903853,
      "absoluteChange": 2928870,
      "percentChange": 148.29849168321957,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 797.67,
      "latestValue": 691.16,
      "absoluteChange": -106.50999999999999,
      "percentChange": -13.35263956272644,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 141,
      "latestValue": 141,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 22385,
      "latestValue": 22887,
      "absoluteChange": 502,
      "percentChange": 2.2425731516640606,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 4953,
      "latestValue": 4390,
      "absoluteChange": -563,
      "percentChange": -11.366848374722391,
      "unit": "discharges"
    }
  ]
}
