{ "meta": { "dataset": "Expanded hospital closure, ownership, degradation, and systemic context research", "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "sourceSha256": "65149be401d2dfeebd6c9cce6d4f60cd0b62a671b64df3c4f10b00ae0c8ba361", "generatedAt": "2026-07-10T18:52:51.765Z", "evidenceAsOf": "2026-07-10", "recordCount": 43, "facilityCount": 39, "mappedClosedCount": 33, "contextOnlyCount": 10, "scopeNote": "All source rows are preserved. Reopened, converted, open, and systemic rows are context only and are not falsely mapped as closed hospitals." }, "records": [ { "sourceRow": 2, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "pe-closure-220067", "ccn": "220067", "address": "114 WHITWELL STREET", "zip": "02169", "latitude": 42.25032, "longitude": -71.01419, "parentCompany": "Steward Health Care", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2014-12", "normalizedStatusLabel": "Full closure (inpatient 2014; satellite ER until 2020)", "sourceUrls": [ "https://www.wbur.org/news/2014/11/06/quincy-medical-center-closing-at-years-end", "https://www.wcvb.com/article/steward-health-care-bankruptcy-timeline-one-year-later/64690140" ], "hospital_name": "Quincy Medical Center", "city": "Quincy", "state": "MA", "closure_type": "Full closure (inpatient 2014; satellite ER until 2020)", "closure_date": "2014-12", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "196 (approx, needs verification)", "patients_served_note": "Steward said it was losing ~$20M/yr; served Quincy area (~100k)", "rural_urban": "Urban", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care", "acquired_year": "2011", "acquisition_deal_note": "Steward bought Quincy Medical Center out of bankruptcy in 2011", "years_pe_to_closure": "3", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Abrupt closure announced Nov 2014 with all but ER shut within weeks", "community_impact": "City of ~100k left without a full-service hospital; ER remnant closed Nov 2020", "building_fate": "Largely demolished/redeveloped", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.wbur.org/news/2014/11/06/quincy-medical-center-closing-at-years-end; https://www.wcvb.com/article/steward-health-care-bankruptcy-timeline-one-year-later/64690140" }, { "sourceRow": 3, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "pe-closure-360141", "ccn": "360141", "address": "500 GYPSY LANE", "zip": "44501", "latitude": 41.13369, "longitude": -80.65944, "parentCompany": "Steward Health Care (acquired via IASIS Healthcare deal)", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2018-09-20", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.ahd.com/free_profile/360141/Northside_Regional_Medical_Center/Youngstown/Ohio/", "https://www.tribtoday.com/news/local-news/2020/02/northside-hospital-leaves-void-in-neighborhood/" ], "hospital_name": "Northside Regional Medical Center", "city": "Youngstown", "state": "OH", "closure_type": "Full closure", "closure_date": "2018-09-20", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "355 (licensed, approx)", "patients_served_note": "Provided ER + labor & delivery for north Youngstown", "rural_urban": "Urban", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care (acquired via IASIS Healthcare deal)", "acquired_year": "2017", "acquisition_deal_note": "Acquired from IASIS Healthcare Sept 29 2017; closed less than a year later", "years_pe_to_closure": "1", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Closed <12 months after Steward takeover; staff layoffs; union called it a huge blow to local economy", "community_impact": "Eliminated ER and labor & delivery on Youngstown's north side; complex left mostly empty", "building_fate": "Mostly vacant; 'void in neighborhood' per local press", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.ahd.com/free_profile/360141/Northside_Regional_Medical_Center/Youngstown/Ohio/; https://www.tribtoday.com/news/local-news/2020/02/northside-hospital-leaves-void-in-neighborhood/" }, { "sourceRow": 4, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "220126", "ccn": "220126", "address": "800 WASHINGTON STREET", "zip": "02062", "latitude": 42.1889999998159, "longitude": -71.2020999998945, "parentCompany": "Steward Health Care", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2020-06-28", "normalizedStatusLabel": "Full closure (flood; never reopened)", "sourceUrls": [ "https://en.wikipedia.org/wiki/Norwood_Hospital", "https://finishthejobnorwood.com/background/" ], "hospital_name": "Norwood Hospital", "city": "Norwood", "state": "MA", "closure_type": "Full closure (flood; never reopened)", "closure_date": "2020-06-28", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "215", "patients_served_note": "Regional community hospital for Norwood area", "rural_urban": "Suburban", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care", "acquired_year": "2010", "acquisition_deal_note": "Part of original Caritas Christi LBO (2010)", "years_pe_to_closure": "10", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Catastrophic June 2020 flood; Steward sued insurers; rebuild stalled and abandoned in bankruptcy", "community_impact": "Longer ambulance rides and patient overflow to neighboring hospitals; 'Finish Norwood Hospital' community campaign; eminent-domain reopening proposals", "building_fate": "Half-rebuilt shell; unfinished as of 2026", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://en.wikipedia.org/wiki/Norwood_Hospital; https://finishthejobnorwood.com/background/" }, { "sourceRow": 5, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "pe-closure-450697", "ccn": "450697", "address": "7400 BARLITE BLVD", "zip": "78224", "latitude": 29.35363, "longitude": -98.54649, "parentCompany": "Steward Health Care (acquired via IASIS Healthcare deal)", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2023-05-01", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.cbsnews.com/news/texas-vista-medical-center-closure-investors-role-san-antonio-hospital-under-scrutiny/", "https://sanantonioreport.org/san-antonio-health-care-access-texas-vista-closing/" ], "hospital_name": "Texas Vista Medical Center (fmr Southwest General)", "city": "San Antonio", "state": "TX", "closure_type": "Full closure", "closure_date": "2023-05-01", "care_level": "Secondary (community)", "hospital_type": "Acute care safety-net hospital", "trauma_level": "None", "licensed_beds": "325-356", "patients_served_note": "One of only two hospitals serving San Antonio's South Side (~500,000 people)", "rural_urban": "Urban", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care (acquired via IASIS Healthcare deal)", "acquired_year": "2017", "acquisition_deal_note": "Acquired via IASIS Healthcare merger Sept 2017", "years_pe_to_closure": "6", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Steward sought county bailout; securities-fraud allegations swirled; cited financial pressure and COVID", "community_impact": "~500,000 South Side residents lost one of two hospitals after 40 years of operation", "building_fate": "Closed; replacement UT Health hospital announced for 2027", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.cbsnews.com/news/texas-vista-medical-center-closure-investors-role-san-antonio-hospital-under-scrutiny/; https://sanantonioreport.org/san-antonio-health-care-access-texas-vista-closing/" }, { "sourceRow": 6, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "220017", "ccn": "220017", "address": "2100 DORCHESTER AVENUE", "zip": "02124", "latitude": 42.2775000003114, "longitude": -71.0653999998176, "parentCompany": "Steward Health Care", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2024-08-31", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.mhalink.org/news/mondayreport/steward-hospitals-bought-and-closed/", "https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/" ], "hospital_name": "Carney Hospital", "city": "Dorchester (Boston)", "state": "MA", "closure_type": "Full closure", "closure_date": "2024-08-31", "care_level": "Secondary (community)", "hospital_type": "Acute care safety-net hospital", "trauma_level": "None", "licensed_beds": "91 staffed (159 licensed, approx)", "patients_served_note": "Safety-net hospital for Dorchester; part of ~2M patients/yr Steward system", "rural_urban": "Urban", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care", "acquired_year": "2010", "acquisition_deal_note": "Part of original Caritas Christi LBO (2010)", "years_pe_to_closure": "14", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Years of underinvestment; closed during Chapter 11 after no qualified bidder", "community_impact": "Part of ~2,400 layoffs post-bankruptcy; longer ambulance response times and ER crowding documented across region", "building_fate": "Closed; redevelopment discussions ongoing", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.mhalink.org/news/mondayreport/steward-hospitals-bought-and-closed/; https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/" }, { "sourceRow": 7, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "220098", "ccn": "220098", "address": "200 GROTON STREET", "zip": "01432", "latitude": 42.5774999998707, "longitude": -71.5739000001017, "parentCompany": "Steward Health Care", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2024-08-31", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.mhalink.org/news/mondayreport/steward-hospitals-bought-and-closed/", "https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/" ], "hospital_name": "Nashoba Valley Medical Center", "city": "Ayer", "state": "MA", "closure_type": "Full closure", "closure_date": "2024-08-31", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "38 staffed", "patients_served_note": "Only hospital for a cluster of rural/exurban towns NW of Boston", "rural_urban": "Rural/exurban", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care", "acquired_year": "2011", "acquisition_deal_note": "Acquired by Steward 2011", "years_pe_to_closure": "13", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Closed during Chapter 11 after no qualified bidder", "community_impact": "Longer ambulance response times/rides documented; regional ER crowding", "building_fate": "Closed", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.mhalink.org/news/mondayreport/steward-hospitals-bought-and-closed/; https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/" }, { "sourceRow": 8, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0125244460", "ccn": "", "address": "1350 EAST MARKET STREET", "zip": "44482", "latitude": 40.9004919497584, "longitude": -80.8324394100059, "parentCompany": "Steward Health Care", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "https://trumbullregional.org/", "statusEvidenceNote": "The hospital reopened in October 2025, then its official site reported diversion for all services beginning November 26, 2025.", "normalizedClosureDate": "2025-11-26", "normalizedStatusLabel": "All services on diversion / suspended since November 2025", "sourceUrls": [ "https://www.chiefhealthcareexecutive.com/view/two-ohio-hospitals-are-slated-to-close-their-doors", "https://www.healthpolicyohio.org/health-policy-news/2024/08/30/warren-youngstown-hospital-closures-to-lead-to-900-layoffs", "https://trumbullregional.org/" ], "hospital_name": "Trumbull Regional Medical Center", "city": "Warren", "state": "OH", "closure_type": "Full closure (reopened by new owner 2025; on diversion late 2025)", "closure_date": "2024-09-20", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "326", "patients_served_note": "Major hospital for Trumbull County", "rural_urban": "Small city", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care", "acquired_year": "2017", "acquisition_deal_note": "Acquired via IASIS-era expansion", "years_pe_to_closure": "7", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Staffing shortages and service-cut rumors for years before closure", "community_impact": "Part of 900+ layoffs in Warren/Youngstown closures (Aug 2024)", "building_fate": "Reopened June 2025 by Insight Health System; on full diversion as of Nov 2025", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.chiefhealthcareexecutive.com/view/two-ohio-hospitals-are-slated-to-close-their-doors; https://www.healthpolicyohio.org/health-policy-news/2024/08/30/warren-youngstown-hospital-closures-to-lead-to-900-layoffs" }, { "sourceRow": 9, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0123344484", "ccn": "363026", "address": "8747 SQUIRES LANE NE", "zip": "44484", "latitude": 41.2507535400509, "longitude": -80.732462100366, "parentCompany": "Steward Health Care", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "https://www.cms.gov/medicare/health-safety-standards/certification-compliance/public-notices/hillside-rehab-hospital", "statusEvidenceNote": "CMS published a termination notice for CCN 363026 after the facility remained shut.", "normalizedClosureDate": "2024-09-20", "normalizedStatusLabel": "Closed; Medicare agreement terminated October 2025", "sourceUrls": [ "https://www.ideastream.org/health/2024-08-22/trumbull-regional-hillside-rehabilitation-hospitals-announce-september-closure-date", "https://ohnurses.org/ona-demands-insight-address-hillside/", "https://www.cms.gov/medicare/health-safety-standards/certification-compliance/public-notices/hillside-rehab-hospital" ], "hospital_name": "Hillside Rehabilitation Hospital", "city": "Warren", "state": "OH", "closure_type": "Full closure (reopening unresolved)", "closure_date": "2024-09-20", "care_level": "Specialty", "hospital_type": "Inpatient rehabilitation hospital", "trauma_level": "None", "licensed_beds": "69", "patients_served_note": "Regional inpatient rehab capacity for Mahoning Valley", "rural_urban": "Small city", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care", "acquired_year": "2017", "acquisition_deal_note": "Acquired via IASIS-era expansion", "years_pe_to_closure": "7", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Closed with Trumbull in Sept 2024; nurses union demanded answers on reopening through 2025", "community_impact": "Part of 900+ layoffs in Warren/Youngstown closures", "building_fate": "Still shut; Insight silent on reopening as of mid-2025", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.ideastream.org/health/2024-08-22/trumbull-regional-hillside-rehabilitation-hospitals-announce-september-closure-date; https://ohnurses.org/ona-demands-insight-address-hillside/" }, { "sourceRow": 10, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "reopened", "mapStatus": "context_only", "hospitalId": "0013016146", "ccn": "", "address": "740 EAST STATE STREET", "zip": "16146", "latitude": 41.2326610001648, "longitude": -80.4962129995788, "parentCompany": "Steward Health Care", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "https://www.pa.gov/agencies/health/newsroom/shapiro-administration-approves-reopening-of-sharon-regional-med", "statusEvidenceNote": "Pennsylvania Department of Health approved reopening under Tenor Health Foundation Sharon, LLC.", "normalizedClosureDate": "2025-01-06", "normalizedStatusLabel": "Reopened in March 2025; not mapped as closed", "sourceUrls": [ "https://www.cbsnews.com/pittsburgh/news/sharon-regional-medical-center-reopening-pa-attorney-general-medical-properties-trust/", "https://sharonregionalhealthsystem.org/category/newsroom/", "https://www.pa.gov/agencies/health/newsroom/shapiro-administration-approves-reopening-of-sharon-regional-med" ], "hospital_name": "Sharon Regional Medical Center", "city": "Sharon", "state": "PA", "closure_type": "Temporary full closure (reopened Mar 2025 at ~60% capacity)", "closure_date": "2025-01-06", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "Level IV (approx, needs verification)", "licensed_beds": "~163 (needs verification)", "patients_served_note": "Primary hospital for Shenango Valley", "rural_urban": "Small city", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care", "acquired_year": "2017", "acquisition_deal_note": "Acquired 2017; closed in bankruptcy wind-down", "years_pe_to_closure": "8", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Abrupt closure announced in court filing Dec 2024", "community_impact": "~100 workers permanently lost jobs across the closure/reopening; two months without local ER", "building_fate": "Reopened Mar 18 2025 under nonprofit Tenor Health Foundation at ~60% of prior capacity", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.cbsnews.com/pittsburgh/news/sharon-regional-medical-center-reopening-pa-attorney-general-medical-properties-trust/; https://sharonregionalhealthsystem.org/category/newsroom/" }, { "sourceRow": 11, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0044032955", "ccn": "", "address": "110 LONGWOOD AVE", "zip": "32955", "latitude": 28.3349938001016, "longitude": -80.7228254402236, "parentCompany": "Steward Health Care (closed by Orlando Health post-purchase)", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2025-04-23", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.healthcaredive.com/news/rockledge-hospital-close-april-orlando-steward/740631/", "https://www.orlandohealth.com/rockledge" ], "hospital_name": "Rockledge Hospital (fmr Rockledge Regional Medical Center)", "city": "Rockledge", "state": "FL", "closure_type": "Full closure", "closure_date": "2025-04-23", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "298", "patients_served_note": "Served central Brevard County", "rural_urban": "Suburban", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care (closed by Orlando Health post-purchase)", "acquired_year": "2017", "acquisition_deal_note": "Steward-era hospital; Orlando Health bought it in Steward's Oct 2024 bankruptcy sale, then closed it citing Steward-era neglect", "years_pe_to_closure": "8", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Years of deferred maintenance under Steward: mold, structural damage, failed critical systems documented by Orlando Health", "community_impact": "Community lost its hospital and ER; $750M replacement hospital planned but years away (first phase ~2030)", "building_fate": "Demolition begun; new hospital planned on different site", "pe_link_confidence": "Direct PE (documented; degradation under PE, closure by successor)", "key_sources": "https://www.healthcaredive.com/news/rockledge-hospital-close-april-orlando-steward/740631/; https://www.orlandohealth.com/rockledge" }, { "sourceRow": 12, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0043932935", "ccn": "", "address": "250 N WICKHAM RD", "zip": "32935", "latitude": 28.1093198696632, "longitude": -80.6748236701659, "parentCompany": "Steward Health Care", "historicalSponsorOrOwner": "Cerberus Capital Management", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2024-10", "normalizedStatusLabel": "Full closure (nonoperational at bankruptcy; formal closure notice Oct 2024)", "sourceUrls": [ "https://www.beckershospitalreview.com/finance/closures-bids-layoffs-where-stewards-31-hospitals-stand/" ], "hospital_name": "Melbourne Regional Medical Center", "city": "Melbourne", "state": "FL", "closure_type": "Full closure (nonoperational at bankruptcy; formal closure notice Oct 2024)", "closure_date": "2024-10", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "119 (approx, needs verification)", "patients_served_note": "Served south Brevard County", "rural_urban": "Suburban", "ownership_category": "Direct PE ownership", "pe_firm": "Cerberus Capital Management", "pe_backed_operator": "Steward Health Care", "acquired_year": "2017", "acquisition_deal_note": "Steward filed Oct 7 2024 closure notice for the already nonoperational hospital plus four satellite facilities", "years_pe_to_closure": "7", "extraction_money_trail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024", "degradation_record": "Already nonoperational by the time of the bankruptcy closure notice", "community_impact": "Loss of hospital capacity in Brevard County alongside Rockledge", "building_fate": "Closed", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.beckershospitalreview.com/finance/closures-bids-layoffs-where-stewards-31-hospitals-stand/" }, { "sourceRow": 13, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0004819026", "ccn": "", "address": "501 NORTH LANSDOWNE AVENUE", "zip": "19026", "latitude": 39.9547579997579, "longitude": -75.2836040003373, "parentCompany": "Prospect Medical Holdings (Crozer Health)", "historicalSponsorOrOwner": "Leonard Green & Partners", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2022-11", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/", "https://www.chiefhealthcareexecutive.com/view/as-crozer-health-closes-pennsylvania-officials-look-at-private-equity-in-hospitals" ], "hospital_name": "Delaware County Memorial Hospital", "city": "Drexel Hill", "state": "PA", "closure_type": "Full closure", "closure_date": "2022-11", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "168 (approx, needs verification)", "patients_served_note": "Community hospital for eastern Delaware County", "rural_urban": "Suburban", "ownership_category": "Direct PE ownership", "pe_firm": "Leonard Green & Partners (majority owner 2010-2021)", "pe_backed_operator": "Prospect Medical Holdings (Crozer Health)", "acquired_year": "2016", "acquisition_deal_note": "Part of $300M Crozer Health purchase with 10-year keep-open pledge", "years_pe_to_closure": "6", "extraction_money_trail": "Leonard Green & Partners majority owner 2010-2021; investors extracted ~$658M in dividends and fees; $1.4B sale-leaseback of hospital real estate to Medical Properties Trust (2019); bought Crozer Health for $300M (2016) with 10-year keep-open pledge; Chapter 11 Jan 2025", "degradation_record": "Services stripped before closure; closure prompted PA Attorney General lawsuit (2022/2024)", "community_impact": "Eastern Delco lost inpatient care; AG sued Prospect and Leonard Green", "building_fate": "Sold for part of a $13M two-hospital deal (2025)", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/; https://www.chiefhealthcareexecutive.com/view/as-crozer-health-closes-pennsylvania-officials-look-at-private-equity-in-hospitals" }, { "sourceRow": 14, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0000000114", "ccn": "", "address": "190 W SPROUL RD", "zip": "19064", "latitude": 39.9220501697844, "longitude": -75.3500561898621, "parentCompany": "Prospect Medical Holdings (Crozer Health)", "historicalSponsorOrOwner": "Leonard Green & Partners", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2022 (inpatient); 2025 (full)", "normalizedStatusLabel": "Partial closure 2022 (inpatient ended); full closure 2025", "sourceUrls": [ "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/", "https://whyy.org/articles/prospect-finds-buyers-crozer-chester-medical-center-springfield-hospital/" ], "hospital_name": "Springfield Hospital", "city": "Springfield", "state": "PA", "closure_type": "Partial closure 2022 (inpatient ended); full closure 2025", "closure_date": "2022 (inpatient); 2025 (full)", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "25-45 (approx, needs verification)", "patients_served_note": "Community hospital for central Delaware County", "rural_urban": "Suburban", "ownership_category": "Direct PE ownership", "pe_firm": "Leonard Green & Partners (majority owner 2010-2021)", "pe_backed_operator": "Prospect Medical Holdings (Crozer Health)", "acquired_year": "2016", "acquisition_deal_note": "Part of $300M Crozer Health purchase with 10-year keep-open pledge", "years_pe_to_closure": "6-9", "extraction_money_trail": "Leonard Green & Partners majority owner 2010-2021; investors extracted ~$658M in dividends and fees; $1.4B sale-leaseback of hospital real estate to Medical Properties Trust (2019); bought Crozer Health for $300M (2016) with 10-year keep-open pledge; Chapter 11 Jan 2025", "degradation_record": "Inpatient care ended 2022; system-wide layoffs and service cuts", "community_impact": "Reduced local access; county gave millions to keep Crozer alive before final collapse", "building_fate": "Sale to backup bidder KQT Aikens Partners in bankruptcy", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/; https://whyy.org/articles/prospect-finds-buyers-crozer-chester-medical-center-springfield-hospital/" }, { "sourceRow": 15, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "390180", "ccn": "390180", "address": "1 MEDICAL CENTER BOULEVARD", "zip": "19013", "latitude": 39.8564980003089, "longitude": -75.3676450001059, "parentCompany": "Prospect Medical Holdings (Crozer Health)", "historicalSponsorOrOwner": "Leonard Green & Partners", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2025-04/05", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.healthcaredive.com/news/prospect-medical-holdings-close-crozer-health/746117/", "https://newjerseymonitor.com/2024/01/18/shell-game-when-private-equity-comes-to-town-hospitals-can-see-cutbacks-closures/" ], "hospital_name": "Crozer-Chester Medical Center", "city": "Upland", "state": "PA", "closure_type": "Full closure", "closure_date": "2025-04/05", "care_level": "Tertiary (teaching)", "hospital_type": "Teaching hospital; safety-net; burn center", "trauma_level": "Level II trauma center (needs verification)", "licensed_beds": "~300 (needs verification)", "patients_served_note": "Flagship hospital for Delaware County (575k residents); trauma, burn, crisis services", "rural_urban": "Suburban", "ownership_category": "Direct PE ownership", "pe_firm": "Leonard Green & Partners (majority owner 2010-2021)", "pe_backed_operator": "Prospect Medical Holdings (Crozer Health)", "acquired_year": "2016", "acquisition_deal_note": "Part of $300M Crozer Health purchase with 10-year keep-open pledge; closed in Chapter 11 when no buyer found", "years_pe_to_closure": "9", "extraction_money_trail": "Leonard Green & Partners majority owner 2010-2021; investors extracted ~$658M in dividends and fees; $1.4B sale-leaseback of hospital real estate to Medical Properties Trust (2019); bought Crozer Health for $300M (2016) with 10-year keep-open pledge; Chapter 11 Jan 2025", "degradation_record": "Owner stopped investing in facilities and equipment; scaled-back services; nurse pickets from 2022; 'ghost town' halls per staff", "community_impact": "County lost its trauma/burn/teaching hub; state and county emergency funding failed to save it; PA moved to legislate against PE hospital ownership", "building_fate": "Wound down 2025; backup bidder Restorative Health Foundation/Syan Investments in bankruptcy sale", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.healthcaredive.com/news/prospect-medical-holdings-close-crozer-health/746117/; https://newjerseymonitor.com/2024/01/18/shell-game-when-private-equity-comes-to-town-hospitals-can-see-cutbacks-closures/" }, { "sourceRow": 16, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0000000115", "ccn": "", "address": "175 E CHESTER PIKE", "zip": "19078", "latitude": 39.8777003298393, "longitude": -75.3202257497807, "parentCompany": "Prospect Medical Holdings (Crozer Health)", "historicalSponsorOrOwner": "Leonard Green & Partners", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2025-04", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/" ], "hospital_name": "Taylor Hospital", "city": "Ridley Park", "state": "PA", "closure_type": "Full closure", "closure_date": "2025-04", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "~90 (needs verification)", "patients_served_note": "Community hospital for Ridley Park area", "rural_urban": "Suburban", "ownership_category": "Direct PE ownership", "pe_firm": "Leonard Green & Partners (majority owner 2010-2021)", "pe_backed_operator": "Prospect Medical Holdings (Crozer Health)", "acquired_year": "2016", "acquisition_deal_note": "Part of $300M Crozer Health purchase; closed after Chapter 11 filing (Jan 2025)", "years_pe_to_closure": "9", "extraction_money_trail": "Leonard Green & Partners majority owner 2010-2021; investors extracted ~$658M in dividends and fees; $1.4B sale-leaseback of hospital real estate to Medical Properties Trust (2019); bought Crozer Health for $300M (2016) with 10-year keep-open pledge; Chapter 11 Jan 2025", "degradation_record": "Prospect told court it ran out of cash to keep the lights on", "community_impact": "All four Crozer hospitals closed over Prospect's 9-year tenure", "building_fate": "Sold Sept 2025 to KQT Aikens Partners", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/" }, { "sourceRow": 17, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0006819102", "ccn": "390290", "address": "230 NORTH BROAD STREET", "zip": "19102", "latitude": 39.957536989854, "longitude": -75.1630301996097, "parentCompany": "American Academic Health System / Philadelphia Academic Health System", "historicalSponsorOrOwner": "Paladin Healthcare Capital", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2019-09-06", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.sciencedirect.com/science/article/abs/pii/S1546144019309731", "https://www.acepnow.com/article/the-private-equity-wave-in-health-care/", "https://www.newyorker.com/magazine/2021/06/07/the-death-of-hahnemann-hospital" ], "hospital_name": "Hahnemann University Hospital", "city": "Philadelphia", "state": "PA", "closure_type": "Full closure", "closure_date": "2019-09-06", "care_level": "Tertiary (academic)", "hospital_type": "Academic medical center; major safety-net; ~600 residents/fellows", "trauma_level": "Level I trauma (adult) until closure (needs verification)", "licensed_beds": "496", "patients_served_note": "Major center-city safety-net serving low-income Philadelphia; ~600 trainees displaced", "rural_urban": "Urban", "ownership_category": "Direct PE ownership", "pe_firm": "Paladin Healthcare Capital (Joel Freedman)", "pe_backed_operator": "American Academic Health System / Philadelphia Academic Health System", "acquired_year": "2018", "acquisition_deal_note": "Bought with St. Christopher's from Tenet for $170M, of which ~$120M was new debt at ~10% interest; real estate immediately spun into separate Freedman-controlled entity", "years_pe_to_closure": "1.5", "extraction_money_trail": "$170M purchase largely debt-funded; real estate separated from hospital at purchase so the land could be monetized independent of the hospital's survival", "degradation_record": "Diminished staffing; delayed maintenance; department closures; botched ER renovation without permits; 175 staff laid off Apr 2019; 4 CEOs in ~18 months", "community_impact": "171-year-old safety-net hospital gone in 1.5 years; ~600 residents scrambled for programs (worst possible July timing); thousands of jobs lost; national scandal", "building_fate": "Land held by Freedman-linked entity for redevelopment; hospital never reopened", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.sciencedirect.com/science/article/abs/pii/S1546144019309731; https://www.acepnow.com/article/the-private-equity-wave-in-health-care/; https://www.newyorker.com/magazine/2021/06/07/the-death-of-hahnemann-hospital" }, { "sourceRow": 18, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "pe-closure-140240", "ccn": "140240", "address": "1225 LAKE ST", "zip": "60160", "latitude": 41.89169, "longitude": -87.84833, "parentCompany": "Pipeline Health", "historicalSponsorOrOwner": "Pipeline Health", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2019-08", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://pestakeholder.org/reports/how-private-equity-raided-safety-net-hospitals-pipeline-health/", "https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-004-19/6-e-004-19-westlake-hospital-discontinuation.pdf" ], "hospital_name": "Westlake Hospital", "city": "Melrose Park", "state": "IL", "closure_type": "Full closure", "closure_date": "2019-08", "care_level": "Secondary (community)", "hospital_type": "Acute care safety-net hospital", "trauma_level": "None", "licensed_beds": "230", "patients_served_note": "Safety-net hospital for west-suburban Cook County", "rural_urban": "Urban/suburban", "ownership_category": "Direct PE ownership", "pe_firm": "Pipeline Health (PE-backed)", "pe_backed_operator": "Pipeline Health", "acquired_year": "2019-01", "acquisition_deal_note": "Bought from Tenet Jan 2019 after telling regulators it would keep Westlake open; announced closure within weeks (Feb 2019)", "years_pe_to_closure": "<1", "extraction_money_trail": "Pipeline Health (PE-backed, incl. TWG/Deerfield-linked investors) bought 3 Chicago safety-net hospitals from Tenet (2019); monetized real estate; rapid expansion then Chapter 11 (Oct 2022); sold Weiss & West Suburban to thinly capitalized Resilience Healthcare with real estate separated from operations", "degradation_record": "Closure announced weeks after promising regulators otherwise; pushed through via bankruptcy despite village lawsuit", "community_impact": "West-suburban safety-net capacity lost; legal fight by Village of Melrose Park failed to stop closure", "building_fate": "Closed; site redevelopment stalled for years", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://pestakeholder.org/reports/how-private-equity-raided-safety-net-hospitals-pipeline-health/; https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-004-19/6-e-004-19-westlake-hospital-discontinuation.pdf" }, { "sourceRow": 19, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0004060640", "ccn": "", "address": "4646 N MARINE DRIVE", "zip": "60640", "latitude": 41.966468350318, "longitude": -87.6496268099132, "parentCompany": "Resilience Healthcare", "historicalSponsorOrOwner": "Pipeline Health", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": true, "statusEvidenceUrl": "https://www.cms.gov/files/document/illinois-weiss-memorial-hospital-07242025.pdf", "statusEvidenceNote": "CMS ended payment for inpatient admissions on or after August 9, 2025.", "normalizedClosureDate": "2025-08-08", "normalizedStatusLabel": "Full closure (inpatient evacuated Jun 2025; ER closed Aug 8 2025)", "sourceUrls": [ "https://www.weisshospital.com/", "https://abc7chicago.com/post/federal-court-cases-lodged-resilience-healthcare-before-west-suburban-medical-center-weiss-memorial-hospital-closed/18862848/", "https://www.cms.gov/files/document/illinois-weiss-memorial-hospital-07242025.pdf" ], "hospital_name": "Weiss Memorial Hospital", "city": "Chicago (Uptown)", "state": "IL", "closure_type": "Full closure (inpatient evacuated Jun 2025; ER closed Aug 8 2025)", "closure_date": "2025-08-08", "care_level": "Secondary (community)", "hospital_type": "Acute care safety-net hospital", "trauma_level": "None", "licensed_beds": "236 (licensed, approx)", "patients_served_note": "Safety-net hospital for Uptown/North Side Chicago", "rural_urban": "Urban", "ownership_category": "Direct PE (Pipeline), then investor-owned successor (Resilience)", "pe_firm": "Pipeline Health (PE-backed), then sold to Resilience Healthcare (Dec 2022) with real estate separated", "pe_backed_operator": "Resilience Healthcare", "acquired_year": "2019 (Pipeline); 2022 (Resilience)", "acquisition_deal_note": "Pipeline bought from Tenet 2019; sold operations to Resilience in Pipeline's Chapter 11 with valuable real estate split off", "years_pe_to_closure": "6", "extraction_money_trail": "Pipeline Health (PE-backed, incl. TWG/Deerfield-linked investors) bought 3 Chicago safety-net hospitals from Tenet (2019); monetized real estate; rapid expansion then Chapter 11 (Oct 2022); sold Weiss & West Suburban to thinly capitalized Resilience Healthcare with real estate separated from operations", "degradation_record": "Catastrophic HVAC failure forced inpatient evacuation Jun 18 2025; unpaid bills and federal court judgments against owner; closure appealed by CEO", "community_impact": "Uptown lost its ER and inpatient care; thousands of safety-net patients displaced", "building_fate": "Shuttered; dueling lawsuits over control; reopening unclear (2026)", "pe_link_confidence": "Direct PE origin; PE-linked successor (documented)", "key_sources": "https://www.weisshospital.com/; https://abc7chicago.com/post/federal-court-cases-lodged-resilience-healthcare-before-west-suburban-medical-center-weiss-memorial-hospital-closed/18862848/" }, { "sourceRow": 20, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "140049", "ccn": "140049", "address": "3 ERIE COURT", "zip": "60302", "latitude": 41.8914014001312, "longitude": -87.7761795600167, "parentCompany": "Resilience Healthcare", "historicalSponsorOrOwner": "Pipeline Health", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": true, "statusEvidenceUrl": "https://www.westsuburbanmc.com/category/news/", "statusEvidenceNote": "The operator announced a service suspension in March 2026; the Oak Park campus later closed after the final elevator failed.", "normalizedClosureDate": "2026-03-27", "normalizedStatusLabel": "Hospital services suspended; campus closed in June 2026", "sourceUrls": [ "https://www.wbez.org/health-medicine/2026/03/25/west-suburban-medical-center-closing-runs-out-cash-weiss-memorial", "https://abc7chicago.com/post/future-west-suburban-medical-center-weiss-memorial-hospital-unclear-judge-rules-manoj-prasad-will-remain-charge/19215029/", "https://www.westsuburbanmc.com/category/news/" ], "hospital_name": "West Suburban Medical Center", "city": "Oak Park", "state": "IL", "closure_type": "Full closure (called 'temporary'; still shut mid-2026)", "closure_date": "2026-03-27", "care_level": "Secondary (community)", "hospital_type": "Acute care safety-net teaching hospital", "trauma_level": "None", "licensed_beds": "172 (licensed, approx)", "patients_served_note": "Safety-net hospital serving Chicago's West Side and Oak Park", "rural_urban": "Urban", "ownership_category": "Direct PE (Pipeline), then investor-owned successor (Resilience)", "pe_firm": "Pipeline Health (PE-backed), then sold to Resilience Healthcare (Dec 2022) with real estate separated", "pe_backed_operator": "Resilience Healthcare", "acquired_year": "2019 (Pipeline); 2022 (Resilience)", "acquisition_deal_note": "Pipeline bought from Tenet 2019; sold operations to Resilience in Pipeline's Chapter 11 with real estate split off", "years_pe_to_closure": "7", "extraction_money_trail": "Pipeline Health (PE-backed, incl. TWG/Deerfield-linked investors) bought 3 Chicago safety-net hospitals from Tenet (2019); monetized real estate; rapid expansion then Chapter 11 (Oct 2022); sold Weiss & West Suburban to thinly capitalized Resilience Healthcare with real estate separated from operations", "degradation_record": "Ran out of cash to pay employees; owner blamed billing-system failure; long pattern of unpaid vendors", "community_impact": "Two of the three former Pipeline safety-net hospitals now closed; West Side patients displaced; court fights over who controls reopening", "building_fate": "Shut since Mar 2026; judge left current CEO in control amid dueling lawsuits", "pe_link_confidence": "Direct PE origin; PE-linked successor (documented)", "key_sources": "https://www.wbez.org/health-medicine/2026/03/25/west-suburban-medical-center-closing-runs-out-cash-weiss-memorial; https://abc7chicago.com/post/future-west-suburban-medical-center-weiss-memorial-hospital-unclear-judge-rules-manoj-prasad-will-remain-charge/19215029/" }, { "sourceRow": 21, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "pe-closure-140118", "ccn": "140118", "address": "12935 S GREGORY", "zip": "60406", "latitude": 41.65868, "longitude": -87.67821, "parentCompany": "Quorum Health", "historicalSponsorOrOwner": "Quorum Health (CHS spinoff; later taken private via KKR-led restructuring 2020)", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2019-09-30", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://abc7chicago.com/post/metrosouth-medical-center-stops-accepting-new-patients/5557542/", "https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-024-19/3-e-024-19-metrosouth-medical-center.pdf" ], "hospital_name": "MetroSouth Medical Center", "city": "Blue Island", "state": "IL", "closure_type": "Full closure", "closure_date": "2019-09-30", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "314 (licensed, approx)", "patients_served_note": "Served south-suburban Cook County", "rural_urban": "Urban/suburban", "ownership_category": "Publicly traded spinoff (Quorum Health, NYSE: QHC)", "pe_firm": "Quorum Health (CHS spinoff; later taken private via KKR-led restructuring 2020)", "pe_backed_operator": "Quorum Health", "acquired_year": "2015 (spinoff)", "acquisition_deal_note": "CHS spun MetroSouth into Quorum (2015); Quorum shut it in 2019 citing volumes/staffing; union blamed deliberate understaffing", "years_pe_to_closure": "4", "extraction_money_trail": "Quorum was created loaded with CHS spinoff debt; restructured in 2020 Chapter 11 with lenders incl. KKR taking ownership", "degradation_record": "State rep accused owner of 'corporate greed... understaffing it'; ER and OB stopped accepting patients before approval", "community_impact": "South-suburban Blue Island lost its hospital; redevelopment stalled 6+ years", "building_fate": "Vacant; redevelopment plans repeatedly stalled", "pe_link_confidence": "Corporate/PE-linked (contributing factor)", "key_sources": "https://abc7chicago.com/post/metrosouth-medical-center-stops-accepting-new-patients/5557542/; https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-024-19/3-e-024-19-metrosouth-medical-center.pdf" }, { "sourceRow": 22, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0016517801", "ccn": "390084", "address": "350 NORTH 11TH STREET", "zip": "17801", "latitude": 40.8619309998088, "longitude": -76.7780249998812, "parentCompany": "Quorum Health, then UPMC Susquehanna", "historicalSponsorOrOwner": "Quorum Health (for-profit CHS spinoff) - divested to UPMC 2017", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2020-03-31", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.northcentralpa.com/life/health/after-two-years-under-upmc-susquehanna-ownership-sunbury-hospital-to-close-in-2020/article_d4e2059a-1903-11ea-b97b-cbd901eb8f7c.html", "https://www.healthleadersmedia.com/cfo/shuttered-pa-hospital-remains-vacant-more-four-years-after-closing-doors" ], "hospital_name": "Sunbury Community Hospital", "city": "Sunbury", "state": "PA", "closure_type": "Full closure", "closure_date": "2020-03-31", "care_level": "Secondary (rural community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "63-70", "patients_served_note": "Only full-scale hospital in Sunbury for 125 years", "rural_urban": "Rural", "ownership_category": "Publicly traded spinoff (Quorum Health, NYSE: QHC)", "pe_firm": "Quorum Health (for-profit CHS spinoff) - divested to UPMC 2017", "pe_backed_operator": "Quorum Health, then UPMC Susquehanna", "acquired_year": "2015 (spinoff); sold 2017", "acquisition_deal_note": "Quorum offloaded the distressed hospital to UPMC (Oct 2017); UPMC closed it ~2.5 years later", "years_pe_to_closure": "5 (from spinoff)", "extraction_money_trail": "Distressed under for-profit chain ownership before divestiture; closed under nonprofit successor", "degradation_record": "Chain ownership left the hospital financially hollowed before handoff", "community_impact": "First time in 125 years Sunbury had no full-scale hospital", "building_fate": "Campus vacant 4+ years after closure", "pe_link_confidence": "Indirect/inconclusive (PE-adjacent chain; closure by successor)", "key_sources": "https://www.northcentralpa.com/life/health/after-two-years-under-upmc-susquehanna-ownership-sunbury-hospital-to-close-in-2020/article_d4e2059a-1903-11ea-b97b-cbd901eb8f7c.html; https://www.healthleadersmedia.com/cfo/shuttered-pa-hospital-remains-vacant-more-four-years-after-closing-doors" }, { "sourceRow": 23, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "converted_to_outpatient_emergency_department", "mapStatus": "context_only", "hospitalId": "0008917745", "ccn": "390071", "address": "24 CREE DRIVE", "zip": "17745", "latitude": 41.1315987303179, "longitude": -77.4702115895871, "parentCompany": "Quorum Health, then UPMC", "historicalSponsorOrOwner": "Quorum Health (for-profit CHS spinoff) - divested to UPMC 2017", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2023-04-01", "normalizedStatusLabel": "Partial closure / conversion (inpatient ended Apr 2023; outpatient ED only)", "sourceUrls": [ "https://www.upmc.com/media/news/012023-lock-haven-oed", "https://radio.wpsu.org/2023-02-27/upmc-lock-haven-is-downsizing-to-an-outpatient-emergency-department-the-first-in-pa" ], "hospital_name": "Lock Haven Hospital (UPMC Lock Haven)", "city": "Lock Haven", "state": "PA", "closure_type": "Partial closure / conversion (inpatient ended Apr 2023; outpatient ED only)", "closure_date": "2023-04-01", "care_level": "Secondary (rural community)", "hospital_type": "Acute care community hospital -> outpatient ED", "trauma_level": "None", "licensed_beds": "47", "patients_served_note": "Only hospital beds for many miles in rural Clinton County", "rural_urban": "Rural", "ownership_category": "Publicly traded spinoff (Quorum Health, NYSE: QHC)", "pe_firm": "Quorum Health (for-profit CHS spinoff) - divested to UPMC 2017", "pe_backed_operator": "Quorum Health, then UPMC", "acquired_year": "2015 (spinoff); sold 2017 ($5.2M)", "acquisition_deal_note": "Quorum sold to UPMC Oct 2017 for $5.2M; UPMC stripped inpatient services in 2023", "years_pe_to_closure": "8 (from spinoff)", "extraction_money_trail": "Distressed under for-profit chain before divestiture", "degradation_record": "Inpatient beds eliminated; converted to outpatient emergency department (first in PA)", "community_impact": "County lost all inpatient hospital beds", "building_fate": "Operating as outpatient ED only", "pe_link_confidence": "Indirect/inconclusive (PE-adjacent chain; conversion by successor)", "key_sources": "https://www.upmc.com/media/news/012023-lock-haven-oed; https://radio.wpsu.org/2023-02-27/upmc-lock-haven-is-downsizing-to-an-outpatient-emergency-department-the-first-in-pa" }, { "sourceRow": 24, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "rescued_and_reopened_publicly_owned", "mapStatus": "context_only", "hospitalId": "050194", "ccn": "050194", "address": "75 NIELSON ST", "zip": "95076", "latitude": 36.9271306701467, "longitude": -121.792911069615, "parentCompany": "Halsen Healthcare", "historicalSponsorOrOwner": "Halsen Healthcare (PE-style investor group); prior owner Quorum Health", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2021-12 (bankruptcy)", "normalizedStatusLabel": "Bankrupted-rescued (2021 Chapter 11; taken over by public health care district 2022)", "sourceUrls": [ "https://lookout.co/watsonville-community-hospital-under-new-management-but-veil-of-secrecy-surrounds-ownership/story", "https://pajaronian.com/watsonville-hospitals-former-owners-grossly-negligent-face-lawsuit/" ], "hospital_name": "Watsonville Community Hospital", "city": "Watsonville", "state": "CA", "closure_type": "Bankrupted-rescued (2021 Chapter 11; taken over by public health care district 2022)", "closure_date": "2021-12 (bankruptcy)", "care_level": "Secondary (community)", "hospital_type": "Acute care community hospital", "trauma_level": "None", "licensed_beds": "106 (approx, needs verification)", "patients_served_note": "Primary hospital for the Pajaro Valley's largely farmworker community", "rural_urban": "Small city/rural", "ownership_category": "Investor-owned (PE-style) + REIT sale-leaseback", "pe_firm": "Halsen Healthcare (PE-style investor group); prior owner Quorum Health", "pe_backed_operator": "Halsen Healthcare", "acquired_year": "2019", "acquisition_deal_note": "Halsen bought from Quorum ~$39-45.5M (2019), immediately sold the entire facility to Medical Properties Trust for $40M and leased it back for 15 years", "years_pe_to_closure": "2", "extraction_money_trail": "Immediate $40M sale-leaseback to MPT stripped the real estate; lawsuit alleges owners took $3.9M+ for personal use; Halsen removed from leadership Jan 2021; bankruptcy Dec 2021", "degradation_record": "Gross-negligence lawsuit against former owners; hospital nearly ran out of cash", "community_impact": "Community passed $116M bond (Measure N) to buy back its own hospital's land from MPT (2024)", "building_fate": "Rescued: now owned by Pajaro Valley Health Care District", "pe_link_confidence": "Direct PE (documented; hospital survived)", "key_sources": "https://lookout.co/watsonville-community-hospital-under-new-management-but-veil-of-secrecy-surrounds-ownership/story; https://pajaronian.com/watsonville-hospitals-former-owners-grossly-negligent-face-lawsuit/" }, { "sourceRow": 25, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0001365265", "ccn": "", "address": "620 EAST MONROE STREET", "zip": "65265", "latitude": 39.1722927102101, "longitude": -91.8776110402223, "parentCompany": "Noble Health (later Platinum Health)", "historicalSponsorOrOwner": "Nueterra Capital", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2022-03", "normalizedStatusLabel": "Full closure (abrupt suspension)", "sourceUrls": [ "https://kffhealthnews.org/aging/private-equity-rural-hospitals-closure-missouri-noble-health/", "https://missouriindependent.com/2022/08/16/collapse-of-private-equity-backed-missouri-hospitals-mired-employees-in-medical-bills/" ], "hospital_name": "Audrain Community Hospital", "city": "Mexico", "state": "MO", "closure_type": "Full closure (abrupt suspension)", "closure_date": "2022-03", "care_level": "Secondary (rural community)", "hospital_type": "Acute care rural hospital with cancer center", "trauma_level": "None", "licensed_beds": "~70 (needs verification)", "patients_served_note": "~500 cancer patients on its roster now travel 40+ miles to Columbia", "rural_urban": "Rural", "ownership_category": "PE-backed startup operator (Nueterra Capital / Noble Health)", "pe_firm": "Nueterra Capital (backer of Noble Health)", "pe_backed_operator": "Noble Health (later Platinum Health)", "acquired_year": "2020/2021", "acquisition_deal_note": "Noble acquired in early 2020s promising rescue; took millions in federal COVID relief and big administrative fees, then padlocked the doors within ~2 years", "years_pe_to_closure": "2", "extraction_money_trail": "Millions in federal COVID relief and administrative fees extracted; vendors and payroll unpaid; employee health insurance premiums deducted but coverage unfunded", "degradation_record": "OR supply shortages (anesthesia meds, bandages, catheters); vendors unpaid; inspectors found patients at risk; employee insurance dropped without notice", "community_impact": "Emergency patients now stabilized and rushed to Columbia with hourslong ER waits; employees stuck with medical bills; DOL and state AG investigations", "building_fate": "Padlocked; still closed years later", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://kffhealthnews.org/aging/private-equity-rural-hospitals-closure-missouri-noble-health/; https://missouriindependent.com/2022/08/16/collapse-of-private-equity-backed-missouri-hospitals-mired-employees-in-medical-bills/" }, { "sourceRow": 26, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0003065251", "ccn": "", "address": "10 SOUTH HOSPITAL DRIVE", "zip": "65251", "latitude": 38.8434442399918, "longitude": -91.9658973603444, "parentCompany": "Noble Health (later Platinum Health)", "historicalSponsorOrOwner": "Nueterra Capital", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2022-03", "normalizedStatusLabel": "Full closure (abrupt suspension)", "sourceUrls": [ "https://www.kcur.org/health/2023-03-27/after-closing-rural-missouri-hospitals-noble-health-faces-investigations-and-lawsuits", "https://kffhealthnews.org/courts/noble-health-missouri-hospital-closures-legal-questions-private-equity/" ], "hospital_name": "Callaway Community Hospital", "city": "Fulton", "state": "MO", "closure_type": "Full closure (abrupt suspension)", "closure_date": "2022-03", "care_level": "Secondary (rural community)", "hospital_type": "Acute care rural hospital", "trauma_level": "None", "licensed_beds": "~49 (needs verification)", "patients_served_note": "Served Callaway County (~45k residents)", "rural_urban": "Rural", "ownership_category": "PE-backed startup operator (Nueterra Capital / Noble Health)", "pe_firm": "Nueterra Capital (backer of Noble Health)", "pe_backed_operator": "Noble Health (later Platinum Health)", "acquired_year": "2019/2020", "acquisition_deal_note": "Same Noble Health buy-and-bust pattern as Audrain, 30 miles away", "years_pe_to_closure": "2-3", "extraction_money_trail": "Same as Audrain: COVID relief and fees taken while bills went unpaid", "degradation_record": "Unpaid wages/benefits; patients put at risk per inspectors", "community_impact": "Thousands in mid-Missouri lost nearby care; lawsuits and federal investigations", "building_fate": "Still closed; Boone Health exploring regional service restoration", "pe_link_confidence": "Direct PE (documented)", "key_sources": "https://www.kcur.org/health/2023-03-27/after-closing-rural-missouri-hospitals-noble-health-faces-investigations-and-lawsuits; https://kffhealthnews.org/courts/noble-health-missouri-hospital-closures-legal-questions-private-equity/" }, { "sourceRow": 27, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0005116117", "ccn": "390008", "address": "724 PERSHING STREET", "zip": "16117", "latitude": 40.8699700002772, "longitude": -80.2756559998563, "parentCompany": "Americore Health", "historicalSponsorOrOwner": "Americore Holdings (private investment group, Grant White)", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2020-01", "normalizedStatusLabel": "Full closure (ER/inpatient suspended Nov 2019 after violations; closed Jan 2020)", "sourceUrls": [ "https://www.pahealthaccess.org/resource/promises-made-promises-broken-what-really-happens-when-local-hospitals-are-acquired/", "https://www.timesonline.com/story/news/local/2025/09/19/ellwood-city-medical-center-files-second-bankruptcy/86185298007/" ], "hospital_name": "Ellwood City Medical Center", "city": "Ellwood City", "state": "PA", "closure_type": "Full closure (ER/inpatient suspended Nov 2019 after violations; closed Jan 2020)", "closure_date": "2020-01", "care_level": "Secondary (rural community)", "hospital_type": "Acute care rural hospital", "trauma_level": "None", "licensed_beds": "~54 (needs verification)", "patients_served_note": "Only hospital in Ellwood City (Lawrence County)", "rural_urban": "Rural/small town", "ownership_category": "Investor-owned (PE-style)", "pe_firm": "Americore Holdings (private investment group, Grant White)", "pe_backed_operator": "Americore Health", "acquired_year": "2017", "acquisition_deal_note": "Bought 2017 in distressed-asset roll-up; Americore filed Chapter 11 Dec 31 2019; case tied to investor litigation incl. James Biden", "years_pe_to_closure": "2-3", "extraction_money_trail": "Payroll repeatedly missed; hospital used as collateral in investor dealings under litigation", "degradation_record": "State suspended ER and inpatient services Nov 2019 after inspection violations", "community_impact": "Town lost its only hospital; property cycled through a second bankruptcy (2025) and sits shuttered", "building_fate": "Vacant; second owner bankruptcy (Chapter 7, 2025)", "pe_link_confidence": "Direct PE-style investor (documented)", "key_sources": "https://www.pahealthaccess.org/resource/promises-made-promises-broken-what-really-happens-when-local-hospitals-are-acquired/; https://www.timesonline.com/story/news/local/2025/09/19/ellwood-city-medical-center-files-second-bankruptcy/86185298007/" }, { "sourceRow": 28, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "pe-closure-050502", "ccn": "050502", "address": "2131 W 3RD ST", "zip": "90057", "latitude": 34.06313, "longitude": -118.27321, "parentCompany": "Verity Health System", "historicalSponsorOrOwner": "BlueMountain Capital Management (managed/optioned Verity 2015-2017); NantWorks majority from 2017", "historicalPeOwnership": false, "relationshipBoundary": "contract or management exposure; not hospital ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "2020-01-27", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://en.wikipedia.org/wiki/St._Vincent_Medical_Center_(Los_Angeles)", "https://en.wikipedia.org/wiki/Verity_Health_System", "http://file.lacounty.gov/SDSInter/bos/supdocs/144222.pdf" ], "hospital_name": "St. Vincent Medical Center", "city": "Los Angeles", "state": "CA", "closure_type": "Full closure", "closure_date": "2020-01-27", "care_level": "Tertiary (specialty referral)", "hospital_type": "General acute care; transplant & specialty programs; LA's oldest hospital (1856)", "trauma_level": "None (needs verification)", "licensed_beds": "366", "patients_served_note": "Historic safety-net and specialty hospital near downtown LA", "rural_urban": "Urban", "ownership_category": "PE management contract over nonprofit (BlueMountain/Integrity)", "pe_firm": "BlueMountain Capital Management (managed/optioned Verity 2015-2017); 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https://en.wikipedia.org/wiki/Verity_Health_System; http://file.lacounty.gov/SDSInter/bos/supdocs/144222.pdf" }, { "sourceRow": 29, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0003526003", "ccn": "510039", "address": "2000 EOFF STREET", "zip": "26003", "latitude": 40.060074580306, "longitude": -80.7216806398019, "parentCompany": "Alecto Wheeling LLC", "historicalSponsorOrOwner": "Alecto Healthcare Services (privately held, CA-based)", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Sep-Oct 2019", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://governorjustice.wv.gov/News/press-releases/2019/Pages/Gov.-Justice-issues-statement-on-Alecto-Healthcare%E2%80%99s-decision-to-abruptly-close-OVMC-in-Wheeling.aspx", "https://www.classaction.org/news/operator-of-ohio-valley-medical-center-facing-warn-act-class-action-over-sept.-2019-shutdown", "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/" ], "hospital_name": "Ohio Valley Medical Center", "city": "Wheeling", "state": "WV", "closure_type": "Full closure", "closure_date": "Sep-Oct 2019", "care_level": "Community/secondary (regional)", "hospital_type": "Acute care", "trauma_level": "", "licensed_beds": "~200 (needs verification)", "patients_served_note": "", "rural_urban": "Small urban/regional", "ownership_category": "Investor-owned for-profit chain (Alecto Healthcare Services)", "pe_firm": "Alecto Healthcare Services (privately held, CA-based)", "pe_backed_operator": "Alecto Wheeling LLC", "acquired_year": "2017", "acquisition_deal_note": "Acquired with East Ohio Regional for $40M total in 2017; City of Wheeling contributed $3M for capital repairs/demolition; building leased from third-party landlord holding company", "years_pe_to_closure": "2", "extraction_money_trail": "Real estate held by separate landlord entity; company claimed $37M losses across OVMC/EORH in 2 years; abruptly ended rescue talks with WVU Medicine the day of closure announcement", "degradation_record": "Abrupt closure announcement Sept 3 2019 with services suspended within 30 days; state officials said they were caught off guard", "community_impact": "736 employees lost jobs; WARN Act class action (Lucas v. Alecto) over lack of 60-day notice", "building_fate": "Landlord transferred building to City of Wheeling in summer 2020 for repurposing/sale", "pe_link_confidence": "Corporate chain (investor-owned, PE-style)", "key_sources": "https://governorjustice.wv.gov/News/press-releases/2019/Pages/Gov.-Justice-issues-statement-on-Alecto-Healthcare%E2%80%99s-decision-to-abruptly-close-OVMC-in-Wheeling.aspx; https://www.classaction.org/news/operator-of-ohio-valley-medical-center-facing-warn-act-class-action-over-sept.-2019-shutdown; https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/" }, { "sourceRow": 30, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0016543935", "ccn": "360080", "address": "90 NORTH 4TH STREET", "zip": "43935", "latitude": 40.0984887799243, "longitude": -80.7206149001084, "parentCompany": "Alecto subsidiary", "historicalSponsorOrOwner": "Alecto Healthcare Services", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "https://dam.assets.ohio.gov/image/upload/jfs.ohio.gov/warn/WARN%202025/EastOhioRegionalHospital.pdf", "statusEvidenceNote": "Ohio WARN records anticipated full closure in May 2025; local reporting documents the hospital had already shut its doors in March and remained closed into 2026.", "normalizedClosureDate": "2025-03-20", "normalizedStatusLabel": "Closed again in March 2025; planned reopening did not occur", "sourceUrls": [ "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/", "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/", "https://dam.assets.ohio.gov/image/upload/jfs.ohio.gov/warn/WARN%202025/EastOhioRegionalHospital.pdf" ], "hospital_name": "East Ohio Regional Hospital", "city": "Martins Ferry", "state": "OH", "closure_type": "Full closure (later reopened under new owner)", "closure_date": "Sep 2019", "care_level": "Community/secondary", "hospital_type": "Acute care", "trauma_level": "", "licensed_beds": "needs verification", "patients_served_note": "", "rural_urban": "Small town/rural", "ownership_category": "Investor-owned for-profit chain (Alecto Healthcare Services)", "pe_firm": "Alecto Healthcare Services", "pe_backed_operator": "Alecto subsidiary", "acquired_year": "2017", "acquisition_deal_note": "Part of $40M 2017 purchase with OVMC", "years_pe_to_closure": "2", "extraction_money_trail": "Company cited $37M combined losses with OVMC; closed same week as OVMC", "degradation_record": "Abrupt closure with ~60 days notice", "community_impact": "343 employees lost jobs", "building_fate": "Reopened ~2021 under new local ownership (needs verification)", "pe_link_confidence": "Corporate chain (investor-owned, PE-style)", "key_sources": "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/; https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/" }, { "sourceRow": 31, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0002426554", "ccn": "510047", "address": "1325 LOCUST AVENUE", "zip": "26554", "latitude": 39.482335329801, "longitude": -80.1653727097288, "parentCompany": "Alecto subsidiary", "historicalSponsorOrOwner": "Alecto Healthcare Services", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Apr 2020 (announced Feb 18 2020, 60-day notice)", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/", "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/" ], "hospital_name": "Fairmont Regional Medical Center", "city": "Fairmont", "state": "WV", "closure_type": "Full closure", "closure_date": "Apr 2020 (announced Feb 18 2020, 60-day notice)", "care_level": "Community/secondary", "hospital_type": "Acute care", "trauma_level": "", "licensed_beds": "needs verification", "patients_served_note": "", "rural_urban": "Small city/rural region", "ownership_category": "Investor-owned for-profit chain (Alecto Healthcare Services)", "pe_firm": "Alecto Healthcare Services", "pe_backed_operator": "Alecto subsidiary", "acquired_year": "2014", "acquisition_deal_note": "Purchased 2014 for $15.3M; certificate-of-need projected turning a $733K deficit into $8.2M profit by 2017", "years_pe_to_closure": "6", "extraction_money_trail": "Profit projections never materialized; third Alecto closure in 6 months", "degradation_record": "60-day closure notice to staff; WV lawmakers called for probe of Alecto", "community_impact": "600+ employees out of work", "building_fate": "WVU Medicine later added replacement services in area (needs verification)", "pe_link_confidence": "Corporate chain (investor-owned, PE-style)", "key_sources": "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/; https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/" }, { "sourceRow": 32, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "converted_to_freestanding_emergency_department", "mapStatus": "context_only", "hospitalId": "0035732060", "ccn": "103435", "address": "1100 SW 11TH ST", "zip": "32060", "latitude": 30.2912675899287, "longitude": -83.0029484302879, "parentCompany": "CHS", "historicalSponsorOrOwner": "Community Health Systems (publicly traded)", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Apr 30 2020", "normalizedStatusLabel": "Conversion (inpatient closed; sold to HCA as ER-only)", "sourceUrls": [ "https://www.politico.com/states/florida/story/2020/04/16/as-the-coronavirus-penetrates-rural-florida-2-hospitals-will-close-1276826", "https://www.jacksonville.com/story/news/2020/02/28/hospitals-in-live-oak-starke-shutting-down-inpatient-non-emergency-services/112241360/" ], "hospital_name": "Shands Live Oak Regional Medical Center", "city": "Live Oak", "state": "FL", "closure_type": "Conversion (inpatient closed; sold to HCA as ER-only)", "closure_date": "Apr 30 2020", "care_level": "Rural community", "hospital_type": "Acute care (rural)", "trauma_level": "", "licensed_beds": "~25 (50 combined with Starke)", "patients_served_note": "", "rural_urban": "Rural", "ownership_category": "Publicly traded chain (Community Health Systems, NYSE: CYH)", "pe_firm": "Community Health Systems (publicly traded)", "pe_backed_operator": "CHS", "acquired_year": "needs verification", "acquisition_deal_note": "CHS suspended all inpatient/non-emergency services then sold substantially all assets to HCA Healthcare North Florida Division", "years_pe_to_closure": "", "extraction_money_trail": "Closure was part of CHS multi-year divestiture program to pay down ~$13B debt from leveraged acquisitions", "degradation_record": "Inpatient and non-emergency services ended with ~2 months notice, during COVID-19 onset", "community_impact": "370 workers (with Starke) lost jobs; EMS drew plans to transport patients up to 80 miles to Tallahassee", "building_fate": "Operated as HCA freestanding emergency department", "pe_link_confidence": "Corporate chain (publicly traded)", "key_sources": "https://www.politico.com/states/florida/story/2020/04/16/as-the-coronavirus-penetrates-rural-florida-2-hospitals-will-close-1276826; https://www.jacksonville.com/story/news/2020/02/28/hospitals-in-live-oak-starke-shutting-down-inpatient-non-emergency-services/112241360/" }, { "sourceRow": 33, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "converted_to_freestanding_emergency_department", "mapStatus": "context_only", "hospitalId": "0035932091", "ccn": "", "address": "922 E CALL ST", "zip": "32091", "latitude": 29.9402788099199, "longitude": -82.101698130048, "parentCompany": "CHS", "historicalSponsorOrOwner": "Community Health Systems (publicly traded)", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Apr 30 2020", "normalizedStatusLabel": "Conversion (inpatient closed; sold to HCA as ER-only)", "sourceUrls": [ "https://www.jacksonville.com/story/news/2020/02/28/hospitals-in-live-oak-starke-shutting-down-inpatient-non-emergency-services/112241360/", "https://www.wcjb.com/content/news/Two-North-Central-Florida-Hospitals-will-close-on-April-30th-568501111.html" ], "hospital_name": "Shands Starke Regional Medical Center", "city": "Starke", "state": "FL", "closure_type": "Conversion (inpatient closed; sold to HCA as ER-only)", "closure_date": "Apr 30 2020", "care_level": "Rural community", "hospital_type": "Acute care (rural)", "trauma_level": "", "licensed_beds": "~25 (50 combined with Live Oak)", "patients_served_note": "", "rural_urban": "Rural", "ownership_category": "Publicly traded chain (Community Health Systems, NYSE: CYH)", "pe_firm": "Community Health Systems (publicly traded)", "pe_backed_operator": "CHS", "acquired_year": "needs verification", "acquisition_deal_note": "Same CHS-to-HCA transaction as Live Oak", "years_pe_to_closure": "", "extraction_money_trail": "Part of CHS debt-driven divestiture wave", "degradation_record": "Inpatient/non-emergency services suspended late Apr 2020", "community_impact": "Bradford County job losses; 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community listening events (\"What Happened to Our Hospitals?\") documented access gaps", "building_fate": "needs verification", "pe_link_confidence": "Corporate chain (publicly traded)", "key_sources": "https://riverbendnews.org/florida-voices-for-health-pushes-for-stronger-rural-healthcare-access/; https://www.bringbackcarefl.org/home-2" }, { "sourceRow": 35, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "pe-closure-360151", "ccn": "360151", "address": "875 EIGHTH STREET NE", "zip": "44646", "latitude": 40.80659, "longitude": -81.51602, "parentCompany": "Quorum Health", "historicalSponsorOrOwner": "Quorum Health Corporation (CHS spinoff, later taken private via 2020 bankruptcy)", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Feb 4 2018 (fully closed Mar 6 2018)", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.sec.gov/Archives/edgar/data/1650445/000156459018000099/qhc-ex991_14.htm", "https://www.cantonrep.com/story/news/local/massillon/2018/01/05/prognosis-affinity-has-two-months/16370190007/", "https://www.wkyc.com/article/news/local/stark-county/deal-could-bring-hospital-back-to-massillons-former-affinity-medical-center/95-591143911" ], "hospital_name": "Affinity Medical Center", "city": "Massillon", "state": "OH", "closure_type": "Full closure", "closure_date": "Feb 4 2018 (fully closed Mar 6 2018)", "care_level": "Community/secondary", "hospital_type": "Acute care", "trauma_level": "", "licensed_beds": "156", "patients_served_note": "", "rural_urban": "Small city", "ownership_category": "Publicly traded spinoff (Quorum Health, NYSE: QHC)", "pe_firm": "Quorum Health Corporation (CHS spinoff, later taken private via 2020 bankruptcy)", "pe_backed_operator": "Quorum Health", "acquired_year": "2016 (spun off from CHS)", "acquisition_deal_note": "Quorum was spun off from CHS in 2016 loaded with debt; Affinity had 6 straight years of losses", "years_pe_to_closure": "2 (from spinoff)", "extraction_money_trail": "Spinoff debt structure; closure after failed sale efforts", "degradation_record": "Announced Jan 5 2018, clinical operations ceased 30 days later; nurses union warned of public health crisis", "community_impact": "~800 employees incl. 300 physicians; Massillon left without a hospital or trauma center; residents travel to Canton-area hospitals", "building_fate": "City pursued deals for a smaller replacement hospital in the building", "pe_link_confidence": "Corporate chain (publicly traded spinoff)", "key_sources": "https://www.sec.gov/Archives/edgar/data/1650445/000156459018000099/qhc-ex991_14.htm; https://www.cantonrep.com/story/news/local/massillon/2018/01/05/prognosis-affinity-has-two-months/16370190007/; https://www.wkyc.com/article/news/local/stark-county/deal-could-bring-hospital-back-to-massillons-former-affinity-medical-center/95-591143911" }, { "sourceRow": 36, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "pe-closure-440051", "ccn": "440051", "address": "705 E POPLAR AVE", "zip": "38375", "latitude": 35.163080521896, "longitude": -88.575914605263, "parentCompany": "Tennova Healthcare", "historicalSponsorOrOwner": "Community Health Systems / Tennova Healthcare (publicly traded)", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; not classified as direct PE ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "May 18 2016", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.tennessean.com/story/news/health/2016/07/09/rural-tennessee-struggles-changing-face-health-care/86134910/", "https://www.jacksonsun.com/story/news/local/2018/01/19/life-after-death-hospital/1007168001/", "https://www.beckershospitalreview.com/finance/tennessee-hospital-closes-today-leaving-125-without-jobs/" ], "hospital_name": "McNairy Regional Hospital (Tennova)", "city": "Selmer", "state": "TN", "closure_type": "Full closure", "closure_date": "May 18 2016", "care_level": "Rural community", "hospital_type": "Acute care (rural); ED, L&D, surgery", "trauma_level": "", "licensed_beds": "45", "patients_served_note": "", "rural_urban": "Rural", "ownership_category": "Publicly traded chain (Community Health Systems, NYSE: CYH)", "pe_firm": "Community Health Systems / Tennova Healthcare (publicly traded)", "pe_backed_operator": "Tennova Healthcare", "acquired_year": "needs verification", "acquisition_deal_note": "CHS cited structural/plumbing problems, fewer patients, and less federal funding", "years_pe_to_closure": "", "extraction_money_trail": "Closed while CHS shed hospitals to service debt from its leveraged HMA acquisition", "degradation_record": "Employees told in a called meeting; closed ~2 months later", "community_impact": "125 jobs lost; emergency care moved 18-38 miles away", "building_fate": "Demolished (2018); county later broke ground on new emergency/outpatient facility with Magnolia Regional", "pe_link_confidence": "Corporate chain (publicly traded)", "key_sources": "https://www.tennessean.com/story/news/health/2016/07/09/rural-tennessee-struggles-changing-face-health-care/86134910/; https://www.jacksonsun.com/story/news/local/2018/01/19/life-after-death-hospital/1007168001/; https://www.beckershospitalreview.com/finance/tennessee-hospital-closes-today-leaving-125-without-jobs/" }, { "sourceRow": 37, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "open_degradation_case", "mapStatus": "context_only", "hospitalId": "340002", "ccn": "340002", "address": "509 BILTMORE AVE", "zip": "28801", "latitude": 35.5765725702074, "longitude": -82.5491432202568, "parentCompany": "HCA", "historicalSponsorOrOwner": "HCA Healthcare (publicly traded)", "historicalPeOwnership": false, "relationshipBoundary": "for-profit owner/operator context; 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https://carolinapublicpress.org/72325/attorney-general-jackson-nc-hca-mission-health-noncompliance/; https://www.northcarolinahealthnews.org/2025/02/08/hcas-purchase-of-mission-health-did-not-lead-to-lasting-improvements-wake-forest-academic-report-concludes/" }, { "sourceRow": 38, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "pe-closure-261334", "ccn": "261334", "address": "105 HOSPITAL DRIVE, BUILDING B", "zip": "65351", "latitude": 38.97841, "longitude": -93.41658, "parentCompany": "EmpowerHMS", "historicalSponsorOrOwner": "EmpowerHMS / Jorge Perez network (18 hospitals, 8 states)", "historicalPeOwnership": false, "relationshipBoundary": "contract or management exposure; not hospital ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Feb 2019", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://kffhealthnews.org/health-industry/rural-hospital-empire-collapse-missouri-town-fallout-jorge-a-perez-empowerhms/", "https://www.justice.gov/archives/opa/pr/two-men-sentenced-fraudulent-rural-hospital-billing-scheme", "https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/" ], "hospital_name": "I-70 Community Hospital", "city": "Sweet Springs", "state": "MO", "closure_type": "Full closure", "closure_date": "Feb 2019", "care_level": "Critical access (CAH)", "hospital_type": "Rural critical access", "trauma_level": "", "licensed_beds": "15", "patients_served_note": "", "rural_urban": "Rural (town of ~1,400)", "ownership_category": "Management-company control (EmpowerHMS) - contract-driven collapse", "pe_firm": "EmpowerHMS / Jorge Perez network (18 hospitals, 8 states)", "pe_backed_operator": "EmpowerHMS", "acquired_year": "needs verification", "acquisition_deal_note": "Community hospital run by outside management company; used for pass-through lab-billing scheme", "years_pe_to_closure": "", "extraction_money_trail": "Perez network fraudulently billed insurers $1.4B via rural hospitals for outside lab tests; Jorge Perez convicted 2022, sentenced to 8 yrs 4 mo (Dec 2023); ~$80M in lab charges flowed to Perez-affiliated companies from one 14-bed sister hospital in 6 months", "degradation_record": "License voluntarily suspended amid regulatory issues; closed Feb 2019; bankruptcy Mar 2019", "community_impact": "Nearest hospitals in Clinton/Marshall/Sedalia/Warrensburg; town feared losing viability", "building_fate": "Closed; no services remaining (Sheps: closed 2019, 15 beds, none remaining)", "pe_link_confidence": "PE-backed contractor/management (site taxonomy: PE-backed contractor)", "key_sources": "https://kffhealthnews.org/health-industry/rural-hospital-empire-collapse-missouri-town-fallout-jorge-a-perez-empowerhms/; https://www.justice.gov/archives/opa/pr/two-men-sentenced-fraudulent-rural-hospital-billing-scheme; https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/" }, { "sourceRow": 39, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0010267356", "ccn": "171302", "address": "800 BARKER DRIVE", "zip": "67356", "latitude": 37.1592127102389, "longitude": -95.1110769196921, "parentCompany": "EmpowerHMS", "historicalSponsorOrOwner": "EmpowerHMS / Jorge Perez network", "historicalPeOwnership": false, "relationshipBoundary": "contract or management exposure; not hospital ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Feb 2019", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.kcur.org/health/2019-03-07/another-rural-hospital-once-owned-by-north-kansas-city-company-is-in-dire-straits", "https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/" ], "hospital_name": "Oswego Community Hospital", "city": "Oswego", "state": "KS", "closure_type": "Full closure", "closure_date": "Feb 2019", "care_level": "Critical access (CAH)", "hospital_type": "Rural critical access", "trauma_level": "", "licensed_beds": "12", "patients_served_note": "", "rural_urban": "Rural", "ownership_category": "Management-company control (EmpowerHMS) - contract-driven collapse", "pe_firm": "EmpowerHMS / Jorge Perez network", "pe_backed_operator": "EmpowerHMS", "acquired_year": "needs verification", "acquisition_deal_note": "Run by EmpowerHMS; closed abruptly, unable to cover operating expenses", "years_pe_to_closure": "", "extraction_money_trail": "Same $1.4B pass-through billing fraud network (DOJ convictions)", "degradation_record": "Abrupt closure; staff unpaid", "community_impact": "One of 3 Kansas rural closures in 3 months (with Fort Scott, Horton)", "building_fate": "Permanently closed; no services remaining", "pe_link_confidence": "PE-backed contractor/management", "key_sources": "https://www.kcur.org/health/2019-03-07/another-rural-hospital-once-owned-by-north-kansas-city-company-is-in-dire-straits; https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/" }, { "sourceRow": 40, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "facility", "publicationStatus": "closed", "mapStatus": "closed", "hospitalId": "0005766439", "ccn": "171320", "address": "240 WEST 18TH STREET", "zip": "66439", "latitude": 39.6732742200258, "longitude": -95.5304938103668, "parentCompany": "EmpowerHMS", "historicalSponsorOrOwner": "EmpowerHMS / Jorge Perez network", "historicalPeOwnership": false, "relationshipBoundary": "contract or management exposure; not hospital ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Mar 12 2019", "normalizedStatusLabel": "Full closure", "sourceUrls": [ "https://www.kcur.org/health/2019-03-13/third-hospital-once-run-by-north-kansas-city-company-closes-its-doors", "https://www.kansascommerce.gov/2019/03/governor-comments-on-horton-community-hospital-closure-sends-agency-assistance/" ], "hospital_name": "Horton Community Hospital", "city": "Horton", "state": "KS", "closure_type": "Full closure", "closure_date": "Mar 12 2019", "care_level": "Critical access (CAH)", "hospital_type": "Rural critical access", "trauma_level": "", "licensed_beds": "15", "patients_served_note": "", "rural_urban": "Rural", "ownership_category": "Management-company control (EmpowerHMS) - contract-driven collapse", "pe_firm": "EmpowerHMS / Jorge Perez network", "pe_backed_operator": "EmpowerHMS", "acquired_year": "needs verification", "acquisition_deal_note": "Third EmpowerHMS hospital to close in weeks", "years_pe_to_closure": "", "extraction_money_trail": "Same billing-fraud network; staff unpaid since Feb 15 2019, unpaid utility bills", "degradation_record": "Voluntary shutdown for lack of personnel after wages stopped; KDHE and AG on site", "community_impact": "78 miles NW of Kansas City; loss of major town employer", "building_fate": "Permanently closed; no services remaining", "pe_link_confidence": "PE-backed contractor/management", "key_sources": "https://www.kcur.org/health/2019-03-13/third-hospital-once-run-by-north-kansas-city-company-closes-its-doors; https://www.kansascommerce.gov/2019/03/governor-comments-on-horton-community-hospital-closure-sends-agency-assistance/" }, { "sourceRow": 41, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "systemic_context", "publicationStatus": "systemic_context", "mapStatus": "context_only", "hospitalId": "", "ccn": "", "address": "", "zip": "", "latitude": null, "longitude": null, "parentCompany": "American Physician Partners", "historicalSponsorOrOwner": "BBH Capital Partners (backer of American Physician Partners)", "historicalPeOwnership": false, "relationshipBoundary": "contract or management exposure; not hospital ownership", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Jul 31 2023 wind-down; Chapter 11 Sept 2023", "normalizedStatusLabel": "Contractor collapse (systemic)", "sourceUrls": [ "https://www.fiercehealthcare.com/providers/hospital-ed-staffer-american-physician-partners-files-chapter-11-bankruptcy", "https://www.beckersasc.com/asc-transactions-and-valuation-issues/1-year-since-american-physician-partners-closed-whats-happened-since/" ], "hospital_name": "SYSTEMIC: American Physician Partners collapse (150+ ED/hospitalist contracts, 100+ sites)", "city": "Multi-site", "state": "Multi-state", "closure_type": "Contractor collapse (systemic)", "closure_date": "Jul 31 2023 wind-down; Chapter 11 Sept 2023", "care_level": "Emergency departments at community hospitals", "hospital_type": "ED staffing contractor", "trauma_level": "", "licensed_beds": "", "patients_served_note": "2,500+ physicians across 150+ hospital contracts", "rural_urban": "", "ownership_category": "PE-backed staffing contractor (BBH Capital Partners-backed APP)", "pe_firm": "BBH Capital Partners (backer of American Physician Partners)", "pe_backed_operator": "American Physician Partners", "acquired_year": "2015-2016 growth era (needs verification)", "acquisition_deal_note": "Hospitals (many nonprofit) outsourced ED staffing to APP; 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https://www.hsgac.senate.gov/wp-content/uploads/2024.04.01-HSGAC-Chairman-Peters-Letter-to-Blackstone-TeamHealth.pdf" }, { "sourceRow": 44, "sourceFile": "research/imports/pe_hospital_closures_expanded.csv", "evidenceAsOf": "2026-07-10", "recordKind": "systemic_context", "publicationStatus": "systemic_context", "mapStatus": "context_only", "hospitalId": "", "ccn": "", "address": "", "zip": "", "latitude": null, "longitude": null, "parentCompany": "Lifepoint Health; ScionHealth", "historicalSponsorOrOwner": "Apollo Global Management ($5.6B LifePoint LBO, 2018)", "historicalPeOwnership": true, "relationshipBoundary": "documented historical PE ownership or PE-backed operator context", "historicalSponsorPrecededOperator": false, "statusEvidenceUrl": "", "statusEvidenceNote": "", "normalizedClosureDate": "Ongoing (Apollo-owned since 2018)", "normalizedStatusLabel": "Ongoing degradation risk (systemic)", "sourceUrls": [ "https://pestakeholder.org/wp-content/uploads/2024/01/PESP__Report_Apollo_Lifepoint_2024.pdf", "https://www.cnbc.com/2018/07/23/buyout-firm-apollo-to-buy-lifepoint-health-in-5point6-billion-deal.html", "https://www.hsgac.senate.gov/library/files/apollo-lifepoint-health/" ], "hospital_name": "SYSTEMIC: Lifepoint Health + ScionHealth (~220 hospitals, Apollo)", "city": "Multi-site", "state": "Multi-state", "closure_type": "Ongoing degradation risk (systemic)", "closure_date": "Ongoing (Apollo-owned since 2018)", "care_level": "Rural/community hospitals", "hospital_type": "Hospital chains under PE ownership", "trauma_level": "", "licensed_beds": "", "patients_served_note": "Two of the largest US hospital systems; heavy rural footprint", "rural_urban": "", "ownership_category": "Direct PE ownership of chains (Apollo Global Management)", "pe_firm": "Apollo Global Management ($5.6B LifePoint LBO, 2018)", "pe_backed_operator": "Lifepoint Health; ScionHealth", "acquired_year": "2018", "acquisition_deal_note": "Kindred acquired via spinoff structure that PESP says evaded antitrust scrutiny", "years_pe_to_closure": "", "extraction_money_trail": "Substantial debt/high credit risk; collected $1.64B COVID aid incl. ~$650M non-repayable grants while pursuing acquisitions", "degradation_record": "PESP 2024 report: service cuts, layoffs, poor quality ratings, regulatory investigations across Apollo hospitals; rural L&D closures wave", "community_impact": "Service cuts concentrated in rural communities", "building_fate": "n/a (chains operating)", "pe_link_confidence": "Direct PE (systemic row, not a single closure)", "key_sources": "https://pestakeholder.org/wp-content/uploads/2024/01/PESP__Report_Apollo_Lifepoint_2024.pdf; https://www.cnbc.com/2018/07/23/buyout-firm-apollo-to-buy-lifepoint-health-in-5point6-billion-deal.html; https://www.hsgac.senate.gov/library/files/apollo-lifepoint-health/" } ] }