{
  "schemaVersion": 4,
  "entityId": "pe-closure-261334",
  "canonicalName": "I-70 COMMUNITY HOSPITAL",
  "status": "closed",
  "statusLabel": "Full closure",
  "summary": "I-70 Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
  "lastReviewed": "2026-07-17",
  "identifiers": {
    "ccn": "261334",
    "address": "105 HOSPITAL DRIVE, BUILDING B",
    "city": "SWEET SPRINGS",
    "state": "MO",
    "zip": "65351",
    "county": "",
    "latitude": 38.97841,
    "longitude": -93.41658
  },
  "firstGlance": {
    "taxOwnershipType": "For-profit",
    "operator": "No active hospital operator",
    "directPeOwnership": "No current PE ownership claim; historical accountability context only.",
    "peRelationship": "Historical PE management or contract exposure; not ownership",
    "institutionalShareholderContext": "Not applicable to current closed-facility marker",
    "populationServedEstimate": null,
    "populationServedLabel": "Closed-campus marker; access impact requires separate local analysis.",
    "careLevel": "Critical access (CAH)",
    "currentCeo": "No current hospital CEO confirmed",
    "previousRelevantCeo": "Historical operator leadership not resolved in this pass",
    "operatorType": "Closed / no active hospital operator",
    "operatorName": "No active hospital operator",
    "parentSystem": "EmpowerHMS",
    "affiliatedSystem": "",
    "religiousAffiliation": "Unknown pending review",
    "confidence": "High",
    "evidenceAsOf": "2026-07-17",
    "bottomLine": "I-70 COMMUNITY HOSPITAL should display as a red closed / historical marker, not as an active hospital."
  },
  "review": {
    "reviewer": "Codex closed-hospital overlay update",
    "evidence_grade": "source-backed closure overlay",
    "confidence": "high",
    "source_count": 4,
    "ownership_source_count": 2,
    "identity_match_method": "Existing map record plus closure-source update",
    "publication_decision": "Publish as closed/historical with source-backed closure metadata and explicit current-operator limitations."
  },
  "sources": [
    {
      "source_id": "source-closure-pe-closure-261334",
      "title": "Expanded hospital closure research import",
      "publisher": "Expanded hospital closure research import",
      "publication_date": "Feb 2019",
      "retrieved_at": "2026-07-10",
      "url": "https://kffhealthnews.org/health-industry/rural-hospital-empire-collapse-missouri-town-fallout-jorge-a-perez-empowerhms/",
      "source_type": "closure_update",
      "reliability_tier": "primary_or_local_source",
      "research_note": "I-70 Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "what_this_source_proves": "Closed / shut-down status and closure-year context for the map marker.",
      "what_this_source_does_not_prove": "It does not prove current hospital services have reopened or establish current PE ownership."
    },
    {
      "source_id": "expanded-closure-pe-closure-261334-1",
      "title": "Expanded closure research source",
      "publisher": "www.shepscenter.unc.edu",
      "publication_date": "",
      "retrieved_at": "2026-07-10",
      "url": "https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/",
      "source_type": "expanded_closure_research",
      "reliability_tier": "user_supplied_source_for_review",
      "research_note": "License voluntarily suspended amid regulatory issues; closed Feb 2019; bankruptcy Mar 2019",
      "what_this_source_proves": "Additional closure, ownership, degradation, community-impact, or building-fate context from the imported research row.",
      "what_this_source_does_not_prove": "It does not automatically prove causation or convert contract/management exposure into hospital ownership."
    },
    {
      "source_id": "source-hospital-universe-pe-closure-261334",
      "title": "Hospital universe / existing map location record",
      "publisher": "PE Healthcare Watch hospital universe",
      "publication_date": "2026-07-10",
      "retrieved_at": "2026-07-10",
      "url": "https://healthcarewatch.xyz/data/hospitals.json",
      "source_type": "hospital_universe_record",
      "reliability_tier": "derived_public_dataset",
      "research_note": "Existing map record used for facility identity, address, and previous geographic placement.",
      "what_this_source_proves": "Facility identity and map coordinates already present in the hospital universe.",
      "what_this_source_does_not_prove": "It does not independently prove closure, ownership, reopening, or current operations."
    },
    {
      "source_id": "expanded-ownership-row-38",
      "title": "Expanded hospital closure ownership research import",
      "publisher": "Expanded hospital closure ownership research import",
      "publication_date": "needs verification",
      "retrieved_at": "2026-07-10",
      "url": "https://www.justice.gov/archives/opa/pr/two-men-sentenced-fraudulent-rural-hospital-billing-scheme",
      "source_type": "historical_pe_acquisition",
      "reliability_tier": "research_or_transaction_source",
      "research_note": "Community hospital run by outside management company; used for pass-through lab-billing scheme",
      "what_this_source_proves": "Former PE sponsor/platform and acquisition period for this hospital.",
      "what_this_source_does_not_prove": "It does not by itself prove that private-equity ownership caused the later closure."
    }
  ],
  "ownershipHistory": [
    {
      "relationship_id": "rel-closed-pe-closure-261334-1",
      "from_entity_id": "organization:empowerhms",
      "to_entity_id": "facility:pe-closure-261334",
      "relationship_type": "formerly operated closed facility",
      "effective_date": "Feb 2019",
      "end_date": "",
      "announcement_date": "Feb 2019",
      "status": "historical_context",
      "confidence": "high",
      "source_ids": "source-closure-pe-closure-261334|expanded-ownership-row-38",
      "plain_english_summary": "Historical operator context only; this closed-campus marker is not a current hospital-operator claim.",
      "review_notes": "Closed-campus dossier created from source-backed closure overlay fields."
    },
    {
      "relationship_id": "rel-closed-pe-closure-261334-2",
      "from_entity_id": "organization:empowerhms-jorge-perez-network-18-hospitals-8-states",
      "to_entity_id": "facility:pe-closure-261334",
      "relationship_type": "management or contract exposure; not hospital ownership",
      "effective_date": "Feb 2019",
      "end_date": "",
      "announcement_date": "Feb 2019",
      "status": "historical_context",
      "confidence": "high",
      "source_ids": "source-closure-pe-closure-261334|expanded-ownership-row-38",
      "plain_english_summary": "Historical management or contract exposure is shown separately and is not classified as hospital ownership.",
      "review_notes": "Closed-campus dossier created from source-backed closure overlay fields."
    }
  ],
  "ownershipChain": {
    "model": "Closed-campus, former-operator, historical PE, and facility nodes are shown as separate evidence layers.",
    "confidence": "high",
    "nodes": [
      {
        "id": "facility:pe-closure-261334",
        "label": "I-70 COMMUNITY HOSPITAL",
        "kind": "closed_hospital",
        "evidence": "Full closure"
      },
      {
        "id": "organization:empowerhms",
        "label": "EmpowerHMS",
        "kind": "former_operator",
        "evidence": "Historical operator context only; this closed-campus marker is not a current hospital-operator claim."
      },
      {
        "id": "organization:empowerhms-jorge-perez-network-18-hospitals-8-states",
        "label": "EmpowerHMS / Jorge Perez network (18 hospitals, 8 states)",
        "kind": "historical_pe_relationship",
        "evidence": "Historical management or contract exposure is shown separately and is not classified as hospital ownership."
      }
    ],
    "edges": [
      {
        "id": "organization:empowerhms->facility:pe-closure-261334",
        "from": "organization:empowerhms",
        "to": "facility:pe-closure-261334",
        "relationship": "formerly operated closed facility",
        "confidence": "high",
        "sourceIds": [
          "source-closure-pe-closure-261334",
          "expanded-ownership-row-38"
        ],
        "note": "Historical operator context only; this closed-campus marker is not a current hospital-operator claim."
      },
      {
        "id": "organization:empowerhms-jorge-perez-network-18-hospitals-8-states->facility:pe-closure-261334",
        "from": "organization:empowerhms-jorge-perez-network-18-hospitals-8-states",
        "to": "facility:pe-closure-261334",
        "relationship": "management or contract exposure; not hospital ownership",
        "confidence": "high",
        "sourceIds": [
          "source-closure-pe-closure-261334",
          "expanded-ownership-row-38"
        ],
        "note": "Historical management or contract exposure is shown separately and is not classified as hospital ownership."
      }
    ],
    "caveats": [
      "Closed-campus markers are not active hospital-operation claims.",
      "Former PE/operator context is retained for accountability and is not treated as current ownership."
    ]
  },
  "acquisitionEvents": [
    {
      "date": "Feb 2019",
      "title": "Full closure",
      "detail": "I-70 Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "sourceIds": [
        "source-closure-pe-closure-261334",
        "expanded-ownership-row-38"
      ]
    }
  ],
  "leadership": [],
  "communityImpact": [
    {
      "topic": "Closure",
      "summary": "I-70 Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "sourceIds": [
        "source-closure-pe-closure-261334",
        "expanded-ownership-row-38"
      ]
    },
    {
      "topic": "Community impact",
      "summary": "Nearest hospitals in Clinton/Marshall/Sedalia/Warrensburg; town feared losing viability",
      "sourceIds": [
        "source-closure-pe-closure-261334",
        "expanded-ownership-row-38"
      ]
    },
    {
      "topic": "Building / campus fate",
      "summary": "Closed; no services remaining (Sheps: closed 2019, 15 beds, none remaining)",
      "sourceIds": [
        "source-closure-pe-closure-261334",
        "expanded-ownership-row-38"
      ]
    }
  ],
  "qualityAndLaborContext": [],
  "cmsOwnerRecords": [],
  "financialAndUtilizationSeries": [],
  "descriptiveTrends": [],
  "contradictions": [],
  "limitations": [
    "This is a closure overlay dossier. Current property ownership and any future reuse require fresh source review before changing the marker."
  ],
  "importantLinks": [
    {
      "label": "Expanded hospital closure research import",
      "url": "https://kffhealthnews.org/health-industry/rural-hospital-empire-collapse-missouri-town-fallout-jorge-a-perez-empowerhms/"
    }
  ],
  "directConnections": [],
  "systemConnections": [],
  "ownershipConnections": [],
  "unavailableFields": [
    "Current hospital operator",
    "Current hospital CEO",
    "Current inpatient or emergency service status beyond closure source"
  ],
  "actions": [
    "Open closure source: https://kffhealthnews.org/health-industry/rural-hospital-empire-collapse-missouri-town-fallout-jorge-a-perez-empowerhms/"
  ]
}