{
  "schemaVersion": 4,
  "entityId": "0035632055",
  "canonicalName": "SHANDS LAKE SHORE REGIONAL MEDICAL CENTER",
  "status": "closed",
  "statusLabel": "Full closure",
  "summary": "Shands Lake Shore Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: CHS + Lake Shore Hospital Authority lease. 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": "",
    "address": "368 NE FRANKLIN ST",
    "city": "LAKE CITY",
    "state": "FL",
    "zip": "32055",
    "county": "COLUMBIA",
    "latitude": 30.1931335696213,
    "longitude": -82.6327561197919
  },
  "firstGlance": {
    "taxOwnershipType": "Government / public",
    "operator": "No active hospital operator",
    "directPeOwnership": "No current PE ownership claim; historical accountability context only.",
    "peRelationship": "Closed / historical",
    "institutionalShareholderContext": "Not applicable to current closed-facility marker",
    "populationServedEstimate": null,
    "populationServedLabel": "Closed-campus marker; access impact requires separate local analysis.",
    "careLevel": "Rural community",
    "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": "CHS + Lake Shore Hospital Authority lease",
    "affiliatedSystem": "Northflorida Va",
    "religiousAffiliation": "Unknown pending review",
    "confidence": "low",
    "evidenceAsOf": "2026-07-17",
    "bottomLine": "SHANDS LAKE SHORE REGIONAL MEDICAL CENTER 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": "low",
    "source_count": 2,
    "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-0035632055",
      "title": "Expanded hospital closure research import",
      "publisher": "Expanded hospital closure research import",
      "publication_date": "2020",
      "retrieved_at": "2026-07-10",
      "url": "https://riverbendnews.org/florida-voices-for-health-pushes-for-stronger-rural-healthcare-access/",
      "source_type": "closure_update",
      "reliability_tier": "primary_or_local_source",
      "research_note": "Shands Lake Shore Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: CHS + Lake Shore Hospital Authority lease. 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": "source-hospital-universe-0035632055",
      "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."
    }
  ],
  "ownershipHistory": [
    {
      "relationship_id": "rel-closed-0035632055-1",
      "from_entity_id": "organization:chs-lake-shore-hospital-authority-lease",
      "to_entity_id": "facility:0035632055",
      "relationship_type": "formerly operated closed facility",
      "effective_date": "2020",
      "end_date": "",
      "announcement_date": "2020",
      "status": "historical_context",
      "confidence": "high",
      "source_ids": "source-closure-0035632055",
      "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-0035632055-2",
      "from_entity_id": "organization:northflorida-va",
      "to_entity_id": "facility:0035632055",
      "relationship_type": "historical system affiliation",
      "effective_date": "2020",
      "end_date": "",
      "announcement_date": "2020",
      "status": "historical_context",
      "confidence": "high",
      "source_ids": "source-closure-0035632055",
      "plain_english_summary": "Historical system-family context retained for accountability and map search.",
      "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": "low",
    "nodes": [
      {
        "id": "facility:0035632055",
        "label": "SHANDS LAKE SHORE REGIONAL MEDICAL CENTER",
        "kind": "closed_hospital",
        "evidence": "Full closure"
      },
      {
        "id": "organization:chs-lake-shore-hospital-authority-lease",
        "label": "CHS + Lake Shore Hospital Authority lease",
        "kind": "former_operator",
        "evidence": "Historical operator context only; this closed-campus marker is not a current hospital-operator claim."
      },
      {
        "id": "organization:northflorida-va",
        "label": "Northflorida Va",
        "kind": "health_system_affiliation",
        "evidence": "Historical system-family context retained for accountability and map search."
      }
    ],
    "edges": [
      {
        "id": "organization:chs-lake-shore-hospital-authority-lease->facility:0035632055",
        "from": "organization:chs-lake-shore-hospital-authority-lease",
        "to": "facility:0035632055",
        "relationship": "formerly operated closed facility",
        "confidence": "high",
        "sourceIds": [
          "source-closure-0035632055"
        ],
        "note": "Historical operator context only; this closed-campus marker is not a current hospital-operator claim."
      },
      {
        "id": "organization:northflorida-va->facility:0035632055",
        "from": "organization:northflorida-va",
        "to": "facility:0035632055",
        "relationship": "historical system affiliation",
        "confidence": "high",
        "sourceIds": [
          "source-closure-0035632055"
        ],
        "note": "Historical system-family context retained for accountability and map search."
      }
    ],
    "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": "2020",
      "title": "Full closure",
      "detail": "Shands Lake Shore Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: CHS + Lake Shore Hospital Authority lease. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "sourceIds": [
        "source-closure-0035632055"
      ]
    }
  ],
  "leadership": [],
  "communityImpact": [
    {
      "topic": "Closure",
      "summary": "Shands Lake Shore Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: CHS + Lake Shore Hospital Authority lease. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "sourceIds": [
        "source-closure-0035632055"
      ]
    },
    {
      "topic": "Community impact",
      "summary": "North central Florida residents travel long distances for care; community listening events (\"What Happened to Our Hospitals?\") documented access gaps",
      "sourceIds": [
        "source-closure-0035632055"
      ]
    },
    {
      "topic": "Building / campus fate",
      "summary": "needs verification",
      "sourceIds": [
        "source-closure-0035632055"
      ]
    }
  ],
  "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://riverbendnews.org/florida-voices-for-health-pushes-for-stronger-rural-healthcare-access/"
    }
  ],
  "directConnections": [],
  "systemConnections": [],
  "ownershipConnections": [],
  "unavailableFields": [
    "Current hospital operator",
    "Current hospital CEO",
    "Current inpatient or emergency service status beyond closure source"
  ],
  "actions": [
    "Open closure source: https://riverbendnews.org/florida-voices-for-health-pushes-for-stronger-rural-healthcare-access/"
  ]
}
