{
  "schemaVersion": 3,
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  "canonicalName": "NORTHERN ROCKIES MEDICAL CENTER INC DBA LOGAN HEALTH - CUT BANK",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "NORTHERN ROCKIES MEDICAL CENTER INC DBA LOGAN HEALTH - CUT BANK 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": "1831143080",
    "historicalCcns": [],
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      {
        "alias": "NORTHERN ROCKIES MEDICAL CENTER INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "LOGAN HEALTH - CUT BANK",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
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    {
      "relationship_id": "rel-reportedowner-271337",
      "from_entity_id": "reported owner",
      "to_entity_id": "271337",
      "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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      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHERIE TAYLOR",
      "role": "CORPORATE OFFICER",
      "association_date": "11/01/2010",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHERIE TAYLOR",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "11/01/2010",
      "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": "02/21/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GAIL DAVIS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "05/01/2016",
      "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": "STEVEN LOWERY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/18/2023",
      "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
    }
  ],
  "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",
    "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": "medium",
    "nodes": [
      {
        "id": "facility:271337",
        "label": "NORTHERN ROCKIES MEDICAL CENTER INC DBA LOGAN HEALTH - CUT BANK",
        "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:treasure-berkram:0",
        "label": "TREASURE BERKRAM",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:linda-luther:1",
        "label": "LINDA LUTHER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:richard-gannon:2",
        "label": "RICHARD GANNON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:anna-robbins:3",
        "label": "ANNA ROBBINS",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:mark-haemig:4",
        "label": "MARK HAEMIG",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:justin-ott:5",
        "label": "JUSTIN OTT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:rick-billman:6",
        "label": "RICK BILLMAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:heidi-duncan:7",
        "label": "HEIDI DUNCAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:melissa-kaptanian:8",
        "label": "MELISSA KAPTANIAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:chelsey-brown:9",
        "label": "CHELSEY BROWN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:ellen-layton:10",
        "label": "ELLEN LAYTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:brigid-burke:11",
        "label": "BRIGID BURKE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:mtwy-health:12",
        "label": "MTWY HEALTH",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:mtwy-health:13",
        "label": "MTWY HEALTH",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:jane-karas:14",
        "label": "JANE KARAS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:clinton-seger:15",
        "label": "CLINTON SEGER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:mtwy-health->facility:271337",
        "from": "organization:mtwy-health",
        "to": "facility:271337",
        "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:treasure-berkram:0->facility:271337",
        "from": "cms-owner:treasure-berkram:0",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 12/01/2007"
      },
      {
        "id": "cms-owner:linda-luther:1->facility:271337",
        "from": "cms-owner:linda-luther:1",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 05/01/2017"
      },
      {
        "id": "cms-owner:richard-gannon:2->facility:271337",
        "from": "cms-owner:richard-gannon:2",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 05/01/2017"
      },
      {
        "id": "cms-owner:anna-robbins:3->facility:271337",
        "from": "cms-owner:anna-robbins:3",
        "to": "facility:271337",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 07/12/2023"
      },
      {
        "id": "cms-owner:mark-haemig:4->facility:271337",
        "from": "cms-owner:mark-haemig:4",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 05/01/2016"
      },
      {
        "id": "cms-owner:justin-ott:5->facility:271337",
        "from": "cms-owner:justin-ott:5",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 08/28/2024"
      },
      {
        "id": "cms-owner:rick-billman:6->facility:271337",
        "from": "cms-owner:rick-billman:6",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 05/01/2007"
      },
      {
        "id": "cms-owner:heidi-duncan:7->facility:271337",
        "from": "cms-owner:heidi-duncan:7",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/01/2023"
      },
      {
        "id": "cms-owner:melissa-kaptanian:8->facility:271337",
        "from": "cms-owner:melissa-kaptanian:8",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/28/2024"
      },
      {
        "id": "cms-owner:chelsey-brown:9->facility:271337",
        "from": "cms-owner:chelsey-brown:9",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 11/12/2024"
      },
      {
        "id": "cms-owner:ellen-layton:10->facility:271337",
        "from": "cms-owner:ellen-layton:10",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 08/28/2024"
      },
      {
        "id": "cms-owner:brigid-burke:11->facility:271337",
        "from": "cms-owner:brigid-burke:11",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 05/07/2024"
      },
      {
        "id": "cms-owner:mtwy-health:12->facility:271337",
        "from": "cms-owner:mtwy-health:12",
        "to": "facility:271337",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 06/01/2021"
      },
      {
        "id": "cms-owner:mtwy-health:13->facility:271337",
        "from": "cms-owner:mtwy-health:13",
        "to": "facility:271337",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 06/01/2021"
      },
      {
        "id": "cms-owner:jane-karas:14->facility:271337",
        "from": "cms-owner:jane-karas:14",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/01/2023"
      },
      {
        "id": "cms-owner:clinton-seger:15->facility:271337",
        "from": "cms-owner:clinton-seger:15",
        "to": "facility:271337",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 09/01/2023"
      }
    ],
    "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": 8152986,
      "latestValue": 8243283,
      "absoluteChange": 90297,
      "percentChange": 1.1075328720054223,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 9099443,
      "latestValue": 9011616,
      "absoluteChange": -87827,
      "percentChange": -0.965190946302977,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1046589,
      "latestValue": -200813,
      "absoluteChange": -1247402,
      "percentChange": -119.18737919087627,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 9164157,
      "latestValue": 12167234,
      "absoluteChange": 3003077,
      "percentChange": 32.76981177865024,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 918980,
      "latestValue": 3594284,
      "absoluteChange": 2675304,
      "percentChange": 291.1166728329234,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 72.89,
      "latestValue": 39.89,
      "absoluteChange": -33,
      "percentChange": -45.27370009603512,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 20,
      "latestValue": 20,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 723,
      "latestValue": 214,
      "absoluteChange": -509,
      "percentChange": -70.40110650069157,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "12/31/2023",
      "earliestValue": 71,
      "latestValue": 32,
      "absoluteChange": -39,
      "percentChange": -54.929577464788736,
      "unit": "discharges"
    }
  ]
}
