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  "schemaVersion": 3,
  "entityId": "270051",
  "canonicalName": "KALISPELL REGIONAL MEDICAL CENTER - LOGAN HEALTH MEDICAL CENTER",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "KALISPELL REGIONAL MEDICAL CENTER - LOGAN HEALTH MEDICAL CENTER 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"
  },
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    "npi": "1417945627",
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        "alias_type": "cms_legal_name",
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      },
      {
        "alias": "LOGAN HEALTH MEDICAL CENTER",
        "alias_type": "cms_dba",
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      "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 corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
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      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BRIGID BURKE",
      "role": "CORPORATE OFFICER",
      "association_date": "05/20/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOHN MANUEL",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/24/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MTWY HEALTH",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "02/16/1984",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MTWY HEALTH",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "02/16/1984",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JANE KARAS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "COURTNEY STOUT PATERSON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOSEPH REGER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/24/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EDWARD STEIN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/24/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CLINTON SEGER",
      "role": "CORPORATE OFFICER",
      "association_date": "09/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CLINTON SEGER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ALICE GORDON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "PATTI PILGRIM",
      "role": "CORPORATE OFFICER",
      "association_date": "01/06/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CRAIG BARTHOLOMEW",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BENJAMIN WARD",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/24/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM GIBSON",
      "role": "CORPORATE OFFICER",
      "association_date": "03/01/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL GOGUEN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHELLE HARRIS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KEITH COOK",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MIRNA BOWDEN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/24/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DONALD BENNETT",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/01/2022",
      "percentage_ownership": "",
      "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:270051",
        "label": "KALISPELL REGIONAL MEDICAL CENTER - LOGAN HEALTH MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:mtwy-health",
        "label": "MTWY HEALTH",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:kevin-abel:0",
        "label": "KEVIN ABEL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:kevin-abel:1",
        "label": "KEVIN ABEL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:robert-nystuen:2",
        "label": "ROBERT NYSTUEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bonnie-matosich:3",
        "label": "BONNIE MATOSICH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:anna-robbins:4",
        "label": "ANNA ROBBINS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:anna-robbins:5",
        "label": "ANNA ROBBINS",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:victoria-reich:6",
        "label": "VICTORIA REICH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:vassilis-siomos:7",
        "label": "VASSILIS SIOMOS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:david-dittman:8",
        "label": "DAVID DITTMAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:lin-akey:9",
        "label": "LIN AKEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:thomas-ray:10",
        "label": "THOMAS RAY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:heidi-duncan:11",
        "label": "HEIDI DUNCAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:melissa-kaptanian:12",
        "label": "MELISSA KAPTANIAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:amy-may:13",
        "label": "AMY MAY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:ellen-layton:14",
        "label": "ELLEN LAYTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:brigid-burke:15",
        "label": "BRIGID BURKE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:mtwy-health->facility:270051",
        "from": "organization:mtwy-health",
        "to": "facility:270051",
        "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:kevin-abel:0->facility:270051",
        "from": "cms-owner:kevin-abel:0",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 03/11/2024"
      },
      {
        "id": "cms-owner:kevin-abel:1->facility:270051",
        "from": "cms-owner:kevin-abel:1",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/11/2024"
      },
      {
        "id": "cms-owner:robert-nystuen:2->facility:270051",
        "from": "cms-owner:robert-nystuen:2",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2022"
      },
      {
        "id": "cms-owner:bonnie-matosich:3->facility:270051",
        "from": "cms-owner:bonnie-matosich:3",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/17/2020"
      },
      {
        "id": "cms-owner:anna-robbins:4->facility:270051",
        "from": "cms-owner:anna-robbins:4",
        "to": "facility:270051",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/12/2023"
      },
      {
        "id": "cms-owner:anna-robbins:5->facility:270051",
        "from": "cms-owner:anna-robbins:5",
        "to": "facility:270051",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 07/12/2023"
      },
      {
        "id": "cms-owner:victoria-reich:6->facility:270051",
        "from": "cms-owner:victoria-reich:6",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/24/2025"
      },
      {
        "id": "cms-owner:vassilis-siomos:7->facility:270051",
        "from": "cms-owner:vassilis-siomos:7",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2022"
      },
      {
        "id": "cms-owner:david-dittman:8->facility:270051",
        "from": "cms-owner:david-dittman:8",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/24/2025"
      },
      {
        "id": "cms-owner:lin-akey:9->facility:270051",
        "from": "cms-owner:lin-akey:9",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/24/2025"
      },
      {
        "id": "cms-owner:thomas-ray:10->facility:270051",
        "from": "cms-owner:thomas-ray:10",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/28/2021"
      },
      {
        "id": "cms-owner:heidi-duncan:11->facility:270051",
        "from": "cms-owner:heidi-duncan:11",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/01/2023"
      },
      {
        "id": "cms-owner:melissa-kaptanian:12->facility:270051",
        "from": "cms-owner:melissa-kaptanian:12",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/01/2023"
      },
      {
        "id": "cms-owner:amy-may:13->facility:270051",
        "from": "cms-owner:amy-may:13",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/24/2025"
      },
      {
        "id": "cms-owner:ellen-layton:14->facility:270051",
        "from": "cms-owner:ellen-layton:14",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 08/28/2024"
      },
      {
        "id": "cms-owner:brigid-burke:15->facility:270051",
        "from": "cms-owner:brigid-burke:15",
        "to": "facility:270051",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 05/20/2024"
      }
    ],
    "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": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 308029844,
      "latestValue": 452299427,
      "absoluteChange": 144269583,
      "percentChange": 46.836235452562185,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 507261034,
      "latestValue": 404885792,
      "absoluteChange": -102375242,
      "percentChange": -20.181964538596908,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 12513015,
      "latestValue": 9042126,
      "absoluteChange": -3470889,
      "percentChange": -27.738230953930763,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 640883199,
      "latestValue": 852111636,
      "absoluteChange": 211228437,
      "percentChange": 32.95895996799255,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 396452435,
      "latestValue": 615248408,
      "absoluteChange": 218795973,
      "percentChange": 55.188454826869716,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 29102661,
      "latestValue": 8309732,
      "absoluteChange": -20792929,
      "percentChange": -71.4468309272475,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 3046,
      "latestValue": 3077.33,
      "absoluteChange": 31.329999999999927,
      "percentChange": 1.0285620485883102,
      "unit": "FTE"
    },
    {
      "metric": "beds",
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